| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.95 | $125.10 | $170.42 | |
Ambetter
| Professional | $118.44 | $167.99 | $167.99 | |
Anthem BCBS
| Professional | $119.00 | $141.44 | $194.10 | |
Cigna
| Facility | $129.12 | $129.12 | $131.69 | |
Cigna
| Professional | $109.75 | $129.12 | $132.99 | |
Medica
| Facility | $24.34 | $164.18 | $911.54 | |
Medica
| Professional | $71.63 | $106.97 | $187.07 | |
United
| Professional | $72.72 | $93.60 | $175.80 |