| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.61 | $113.50 | $160.09 | |
Aetna
| Professional | $52.74 | $86.66 | $225.00 | |
Ambetter
| Professional | $78.68 | $108.30 | $124.76 | |
Anthem BCBS
| Professional | $57.42 | $84.52 | $127.66 | |
Cigna
| Professional | $67.11 | $101.52 | $155.15 | |
Medica
| Facility | $55.68 | $90.16 | $161.63 | |
Medica
| Professional | $87.38 | $126.80 | $618.82 | |
Qualchoice
| Professional | $143.47 | $143.47 | $143.47 | |
United
| Professional | $80.97 | $106.54 | $158.26 |