| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.99 | $133.01 | $186.24 | |
Aetna
| Professional | $64.75 | $99.37 | $204.01 | |
Ambetter
| Professional | $103.25 | $123.90 | $137.94 | |
Anthem BCBS
| Professional | $67.47 | $98.76 | $154.22 | |
Cigna
| Professional | $80.68 | $120.23 | $179.28 | |
Medica
| Facility | $65.23 | $106.80 | $188.10 | |
Medica
| Professional | $105.00 | $150.04 | $715.23 | |
United
| Professional | $101.72 | $123.88 | $183.30 |