| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.40 | $140.88 | $326.80 | |
Aetna
| Professional | $92.85 | $164.40 | $308.73 | |
Ambetter
| Professional | $160.66 | $222.51 | $370.85 | |
Anthem BCBS
| Professional | $152.15 | $195.03 | $323.18 | |
Cigna
| Professional | $168.84 | $246.59 | $390.56 | |
Medica
| Facility | $134.06 | $220.77 | $552.47 | |
Medica
| Professional | $172.07 | $225.08 | $1,215.07 | |
United
| Professional | $167.23 | $213.56 | $324.33 |