| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.97 | $66.97 | $79.68 | |
Aetna
| Professional | $66.97 | $86.34 | $342.88 | |
Ambetter
| Professional | $97.71 | $97.71 | $156.47 | |
Anthem BCBS
| Professional | $68.86 | $77.89 | $123.48 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
Medica
| Facility | $66.97 | $131.38 | $437.21 | |
Medica
| Professional | $71.39 | $96.34 | $535.96 | |
United
| Professional | $71.39 | $96.17 | $154.59 |