| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.43 | $67.43 | $73.56 | |
Aetna
| Professional | $20.22 | $26.64 | $50.00 | |
Ambetter
| Professional | $13.31 | $35.92 | $35.92 | |
Anthem BCBS
| Professional | $15.01 | $31.46 | $55.62 | |
Cigna
| Professional | $13.00 | $26.76 | $70.01 | |
Medica
| Facility | $22.62 | $34.72 | $92.67 | |
Medica
| Professional | $15.97 | $35.26 | $3,255.68 | |
United
| Professional | $15.97 | $29.11 | $60.03 |