| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.46 | $141.53 | $190.72 | |
Ambetter
| Professional | $164.30 | $164.30 | $164.30 | |
Anthem BCBS
| Professional | $112.22 | $158.97 | $174.35 | |
Cigna
| Facility | $130.68 | $130.68 | $143.84 | |
Cigna
| Professional | $111.08 | $130.68 | $156.62 | |
Medica
| Facility | $133.96 | $194.65 | $937.40 | |
Medica
| Professional | $87.44 | $115.24 | $231.59 | |
United
| Professional | $80.53 | $112.22 | $231.59 |