| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.60 | $33.60 | $33.60 | |
Aetna
| Professional | $20.00 | $20.00 | $71.12 | |
Ambetter
| Professional | $75.00 | $75.00 | $75.00 | |
Anthem BCBS
| Professional | $0.85 | $1.00 | $69.20 | |
Cigna
| Professional | $180.06 | $180.06 | $180.06 | |
Medica
| Facility | $20.00 | $24.46 | $49.98 | |
Medica
| Professional | $515.64 | $515.64 | $515.64 | |
United
| Professional | $230.00 | $230.00 | $230.00 |