| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.14 | $54.22 | $76.53 | |
Aetna
| Professional | $20.68 | $32.39 | $51.74 | |
Aetna
| Professional | 25 | $85.57 | $85.57 | $85.57 |
Ambetter
| Professional | $33.99 | $45.27 | $77.75 | |
Anthem BCBS
| Professional | $21.67 | $32.92 | $58.05 | |
Cigna
| Professional | $36.52 | $52.63 | $86.62 | |
Medica
| Facility | $23.78 | $37.96 | $60.46 | |
Medica
| Professional | $41.92 | $65.26 | $321.17 | |
Qualchoice
| Professional | $56.67 | $56.67 | $56.67 | |
United
| Professional | $39.04 | $54.02 | $76.27 |