| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.75 | $206.96 | $266.30 | |
Aetna
| Professional | $99.05 | $145.11 | $398.10 | |
Ambetter
| Professional | $148.72 | $176.19 | $242.21 | |
Anthem BCBS
| Professional | $105.28 | $142.29 | $220.55 | |
Cigna
| Professional | $124.65 | $182.03 | $289.64 | |
Medica
| Facility | $100.46 | $163.35 | $269.24 | |
Medica
| Professional | $148.97 | $212.93 | $1,021.95 | |
United
| Professional | $144.79 | $178.86 | $262.55 |