| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.92 | $8.92 | $8.92 | |
Aetna
| Professional | $76.63 | $94.21 | $156.54 | |
Ambetter
| Professional | $74.88 | $86.17 | $113.07 | |
Anthem BCBS
| Professional | $79.09 | $98.35 | $155.38 | |
Cigna
| Professional | $70.00 | $117.38 | $194.58 | |
Medica
| Facility | $82.06 | $100.25 | $192.27 | |
Medica
| Professional | $80.94 | $130.40 | $613.89 | |
United
| Professional | $76.89 | $104.21 | $193.49 |