| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.00 | $184.00 | $329.00 | |
Ambetter
| Facility | $82.71 | $123.00 | $162.50 | |
Anthem BCBS
| Facility | $103.00 | $167.00 | $265.00 | |
Cigna
| Facility | $55.00 | $87.00 | $324.00 | |
Medica
| Facility | $110.00 | $142.60 | $775.09 |