| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.00 | $300.00 | $325.00 | |
Ambetter
| Facility | $99.17 | $140.82 | $146.77 | |
BCBS
| Facility | $35.00 | $55.25 | $129.32 | |
Cigna
| Facility | $55.00 | $179.00 | $265.00 | |
Medica
| Facility | $100.00 | $100.00 | $242.29 |