| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.88 | $295.95 | $836.52 | |
Aetna
| Professional | $85.59 | $108.05 | $133.10 | |
Ambetter
| Professional | $23.49 | $23.49 | $23.49 | |
Anthem BCBS
| Facility | $156.59 | $164.42 | $722.82 | |
Anthem BCBS
| Professional | $45.77 | $95.51 | $178.99 | |
Cigna
| Facility | $111.96 | $328.44 | $655.12 | |
Cigna
| Professional | $82.33 | $82.33 | $165.14 | |
Medica
| Facility | $114.04 | $187.91 | $743.80 | |
Medica
| Professional | $65.77 | $78.30 | $171.31 | |
United
| Professional | $65.77 | $78.30 | $187.91 |