| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.99 | $48.70 | $101.85 | |
Aetna
| Professional | $38.21 | $48.70 | $74.31 | |
Ambetter
| Professional | $78.76 | $78.76 | $125.00 | |
Anthem BCBS
| Facility | $73.03 | $76.68 | $337.11 | |
Anthem BCBS
| Professional | $56.41 | $63.26 | $102.78 | |
Cigna
| Facility | $67.20 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $49.06 | $74.50 | |
Medica
| Facility | $43.74 | $77.61 | $324.51 | |
Medica
| Professional | $43.19 | $67.62 | $164.74 | |
United
| Facility | $124.56 | $124.56 | $149.47 | |
United
| Professional | $43.19 | $64.79 | $90.57 |