| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.27 | $574.70 | $2,211.39 | |
Aetna
| Professional | $157.46 | $176.36 | $220.32 | |
Ambetter
| Professional | $146.97 | $146.97 | $271.89 | |
Anthem BCBS
| Professional | $134.15 | $166.81 | $216.26 | |
Cigna
| Facility | $787.40 | $787.40 | $1,009.21 | |
Cigna
| Professional | $156.72 | $156.72 | $161.28 | |
Medica
| Facility | $173.17 | $247.63 | $472.75 | |
Medica
| Professional | $143.72 | $237.21 | $1,176.10 | |
United
| Professional | $140.25 | $185.52 | $355.83 |