| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $54.95 | |
Aetna
| Professional | $42.66 | $79.43 | $117.49 | |
Ambetter
| Professional | $104.71 | $104.71 | $104.71 | |
Anthem BCBS
| Professional | $85.11 | $85.11 | $302.00 | |
Cigna
| Facility | $173.78 | $173.78 | $173.78 | |
Select Health
| Professional | $6.76 | $8.71 | $8.91 | |
United
| Professional | $97.72 | $123.03 | $169.82 |