| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $234.42 | $407.38 | |
Aetna
| Professional | $37.15 | $91.20 | $151.36 | |
Ambetter
| Professional | $58.88 | $58.88 | $58.88 | |
Anthem BCBS
| Professional | $30.20 | $47.86 | $125.89 | |
BCBS
| Professional | $0.02 | $0.02 | $85.11 | |
Cigna
| Professional | $21.88 | $57.54 | $120.23 | |
Medica
| Facility | $44.67 | $114.82 | $380.19 | |
Medica
| Professional | $30.20 | $72.44 | $575.44 | |
United
| Facility | $81.28 | $630.96 | $1,288.25 | |
United
| Professional | $28.18 | $72.44 | $85.11 |