| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Ambetter
| Facility | $44.67 | $109.65 | $138.04 | |
BCBS
| Facility | $39.81 | $61.66 | $83.18 | |
Cigna
| Facility | $54.95 | $57.54 | $91.20 | |
Medica
| Facility | $2.95 | $109.65 | $398.11 |