| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.00 | $300.00 | $325.00 | |
Ambetter
| Facility | $117.41 | $127.03 | $198.00 | |
BCBS
| Facility | $54.86 | $81.67 | $253.46 | |
Cigna
| Facility | $55.00 | $179.00 | $265.00 | |
Medica
| Facility | $110.00 | $110.00 | $582.41 |