| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.98 | $121.40 | $144.91 | |
Aetna
| Professional | $59.94 | $93.92 | $236.18 | |
Ambetter
| Professional | $83.83 | $98.82 | $141.16 | |
Anthem BCBS
| Professional | $63.12 | $90.19 | $138.31 | |
Cigna
| Professional | $74.26 | $111.21 | $164.34 | |
Medica
| Facility | $61.29 | $98.73 | $172.36 | |
Medica
| Professional | $93.05 | $135.00 | $655.29 | |
United
| Professional | $87.88 | $113.36 | $168.73 |