| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.46 | $54.62 | $65.09 | |
Ambetter
| Professional | $59.52 | $59.52 | $59.52 | |
Anthem BCBS
| Professional | $52.47 | $62.05 | $79.50 | |
Cigna
| Professional | $55.95 | $55.95 | $57.88 | |
Medica
| Facility | $46.46 | $72.31 | $116.07 | |
Medica
| Professional | $59.65 | $83.61 | $403.56 | |
United
| Professional | $57.45 | $73.45 | $104.03 |