| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.14 | $137.29 | $177.97 | |
Aetna
| Professional | $88.64 | $110.56 | $150.27 | |
Ambetter
| Professional | $101.36 | $114.08 | $181.43 | |
Anthem BCBS
| Facility | $110.68 | $110.68 | $110.68 | |
Anthem BCBS
| Professional | $93.86 | $117.03 | $196.49 | |
Cigna
| Professional | $87.00 | $120.00 | $206.42 | |
Medica
| Facility | $103.30 | $131.21 | $242.64 | |
Medica
| Professional | $107.29 | $170.63 | $747.63 | |
United
| Professional | $104.35 | $138.09 | $256.30 |