| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.61 | $70.31 | $164.21 | |
Aetna
| Professional | $50.52 | $79.70 | $159.00 | |
Ambetter
| Professional | $76.42 | $104.70 | $127.88 | |
Anthem BCBS
| Professional | $75.73 | $95.79 | $157.69 | |
Cigna
| Professional | $79.22 | $118.54 | $200.36 | |
Medica
| Facility | $64.20 | $106.25 | $275.38 | |
Medica
| Professional | $83.36 | $112.34 | $613.55 | |
United
| Professional | $81.33 | $107.81 | $163.63 |