| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.00 | $184.00 | $329.00 | |
Ambetter
| Facility | $74.89 | $121.67 | $260.70 | |
Anthem BCBS
| Facility | $103.00 | $167.00 | $265.00 | |
Cigna
| Facility | $51.50 | $80.00 | $227.00 | |
Medica
| Facility | $73.45 | $141.96 | $273.00 |