| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.50 | $138.60 | $231.00 | |
Aetna
| Professional | $55.61 | $72.06 | $96.09 | |
Ambetter
| Professional | $71.56 | $71.56 | $81.33 | |
Anthem BCBS
| Facility | $69.84 | $69.84 | $69.84 | |
Anthem BCBS
| Professional | $64.64 | $82.04 | $133.47 | |
Cigna
| Professional | $58.00 | $84.00 | $147.55 | |
Medica
| Facility | $63.42 | $82.94 | $155.86 | |
Medica
| Professional | $75.34 | $116.61 | $491.49 | |
United
| Professional | $70.17 | $96.74 | $170.69 |