| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.66 | $187.88 | $200.23 | |
Ambetter
| Professional | $189.26 | $189.26 | $189.26 | |
Anthem BCBS
| Professional | $59.17 | $161.35 | $212.80 | |
Cigna
| Professional | $45.05 | $45.05 | $66.95 | |
Medica
| Facility | $166.89 | $200.23 | $382.12 | |
Medica
| Professional | $161.71 | $161.71 | $161.71 | |
United
| Professional | $161.71 | $161.71 | $161.71 |