| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $269.15 | $851.14 | |
Aetna
| Professional | $102.33 | $109.65 | $602.56 | |
Ambetter
| Professional | $67.61 | $67.61 | $67.61 | |
Anthem BCBS
| Professional | $70.79 | $89.13 | $120.23 | |
BCBS
| Professional | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Medica
| Facility | $81.28 | $112.20 | $269.15 |