| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.50 | $48.94 | $66.67 | |
Ambetter
| Professional | $55.02 | $55.02 | $55.02 | |
Anthem BCBS
| Professional | $51.16 | $57.53 | $68.05 | |
Cigna
| Facility | $46.18 | $46.18 | $46.18 | |
Cigna
| Professional | $39.25 | $46.18 | $54.37 | |
Medica
| Facility | $37.69 | $78.58 | $331.44 | |
Medica
| Professional | $34.25 | $47.06 | $85.30 | |
United
| Professional | $35.04 | $42.66 | $85.30 |