| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.11 | $89.86 | $135.00 | |
Aetna
| Professional | $26.96 | $31.28 | $70.55 | |
Ambetter
| Professional | $17.55 | $17.55 | $21.93 | |
Anthem BCBS
| Facility | $35.09 | $36.84 | $161.97 | |
Anthem BCBS
| Professional | $19.10 | $32.69 | $88.01 | |
Cigna
| Facility | $33.21 | $73.61 | $195.51 | |
Cigna
| Professional | $17.05 | $24.02 | $50.38 | |
Medica
| Facility | $30.53 | $51.22 | $166.68 | |
Medica
| Professional | $14.74 | $28.66 | $175.45 | |
United
| Professional | $14.74 | $26.00 | $47.76 |