| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.45 | $100.31 | $314.30 | |
Aetna
| Professional | $67.34 | $85.04 | $116.93 | |
Ambetter
| Professional | $86.69 | $99.27 | $117.94 | |
Anthem BCBS
| Facility | $85.73 | $85.73 | $85.73 | |
Anthem BCBS
| Professional | $75.59 | $92.20 | $158.10 | |
Cigna
| Facility | $307.24 | $307.24 | $307.24 | |
Cigna
| Professional | $68.00 | $100.40 | $165.20 | |
Medica
| Facility | $76.39 | $99.66 | $185.25 | |
Medica
| Professional | $88.53 | $146.88 | $590.30 | |
United
| Professional | $85.05 | $110.61 | $207.65 |