| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $295.12 | $380.19 | |
Ambetter
| Professional | $263.03 | $263.03 | $263.03 | |
Anthem BCBS
| Professional | $263.03 | $309.03 | $467.74 | |
BCBS
| Professional | $263.03 | $338.84 | $478.63 | |
Cigna
| Professional | $288.40 | $407.38 | $616.60 | |
Medica
| Professional | $288.40 | $436.52 | $1,819.70 | |
United
| Professional | $269.15 | $346.74 | $562.34 |