| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.94 | $134.69 | $168.87 | |
Ambetter
| Professional | $150.88 | $150.88 | $150.88 | |
Anthem BCBS
| Professional | $127.88 | $157.00 | $188.39 | |
Cigna
| Facility | $112.73 | $112.73 | $112.73 | |
Cigna
| Professional | $16.55 | $112.73 | $116.11 | |
Medica
| Facility | $25.60 | $148.72 | $955.82 | |
Medica
| Professional | $72.19 | $98.13 | $183.16 | |
United
| Professional | $72.19 | $98.13 | $192.32 |