| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.90 | $65.58 | $104.54 | |
Aetna
| Professional | $15.65 | $20.48 | $26.49 | |
Ambetter
| Professional | $12.04 | $12.04 | $12.04 | |
Anthem BCBS
| Facility | $24.08 | $25.28 | $111.15 | |
Anthem BCBS
| Professional | $11.89 | $20.47 | $62.88 | |
Cigna
| Facility | $34.04 | $50.50 | $134.24 | |
Cigna
| Professional | $14.01 | $24.59 | $35.81 | |
Medica
| Facility | $20.04 | $41.90 | $114.38 | |
Medica
| Professional | $10.11 | $16.05 | $28.90 | |
United
| Professional | $10.11 | $14.45 | $34.11 |