| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.19 | $100.00 | $200.29 |
Aetna
| Professional | 26 | $78.19 | $100.00 | $265.00 |
Ambetter
| Professional | 26 | $66.22 | $66.22 | $66.22 |
Anthem BCBS
| Professional | 26 | $90.99 | $97.65 | $172.73 |
Cigna
| Professional | 26 | $76.88 | $128.69 | $181.54 |
Medica
| Facility | 26 | $207.94 | $392.09 | $392.09 |
Medica
| Professional | 26 | $80.37 | $108.54 | $554.45 |
United
| Professional | 26 | $80.37 | $108.54 | $194.52 |