| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.00 | $212.00 | $212.00 | |
Aetna
| Professional | $159.61 | $183.83 | $214.06 | |
Ambetter
| Professional | $181.12 | $181.12 | $181.12 | |
BCBS
| Professional | $173.40 | $210.55 | $247.71 | |
Cigna
| Professional | $45.05 | $45.05 | $258.38 | |
Medica
| Facility | $158.66 | $195.15 | $223.71 |