| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.23 | $165.12 | $218.91 | |
Aetna
| Professional | $81.54 | $131.37 | $313.99 | |
Ambetter
| Professional | $121.58 | $146.49 | $190.43 | |
Anthem BCBS
| Professional | $84.34 | $116.13 | $181.00 | |
Cigna
| Professional | $101.63 | $147.81 | $238.52 | |
Medica
| Facility | $81.27 | $130.91 | $221.87 | |
Medica
| Professional | $120.44 | $173.99 | $845.09 | |
Qualchoice
| Professional | $160.41 | $160.41 | $160.41 | |
United
| Professional | $118.72 | $146.35 | $215.92 |