| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.68 | $137.66 | $212.47 | |
Ambetter
| Professional | $148.38 | $148.38 | $148.38 | |
Anthem BCBS
| Professional | $100.84 | $163.66 | $271.27 | |
Cigna
| Professional | $99.39 | $179.25 | $325.49 | |
Medica
| Professional | $157.71 | $334.68 | $1,312.96 | |
United
| Professional | $149.41 | $217.97 | $391.72 |