| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.58 | $186.58 | $347.15 | |
Aetna
| Professional | $167.42 | $193.37 | $295.14 | |
Ambetter
| Professional | $250.00 | $250.00 | $401.88 | |
Anthem BCBS
| Facility | $304.83 | $320.08 | $1,407.14 | |
Anthem BCBS
| Professional | $231.43 | $295.79 | $410.62 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $220.10 | $321.43 | |
Medica
| Facility | $136.96 | $304.83 | $1,352.24 | |
Medica
| Professional | $173.18 | $245.87 | $599.03 | |
Qualchoice
| Professional | $372.07 | $372.07 | $372.07 | |
United
| Professional | $173.18 | $245.87 | $506.43 |