| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.02 | $133.06 | $158.16 | |
Aetna
| Professional | $64.75 | $102.53 | $248.30 | |
Ambetter
| Professional | $103.15 | $118.62 | $161.59 | |
Anthem BCBS
| Professional | $71.54 | $99.00 | $153.54 | |
Cigna
| Professional | $84.48 | $124.42 | $188.42 | |
Medica
| Facility | $69.18 | $110.83 | $188.30 | |
Medica
| Professional | $102.10 | $147.94 | $717.08 | |
United
| Professional | $97.14 | $124.49 | $184.20 |