| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.50 | $68.29 | $175.08 | |
Aetna
| Professional | $51.26 | $54.99 | $115.20 | |
Ambetter
| Professional | $50.00 | $65.59 | $76.72 | |
Anthem BCBS
| Facility | $97.91 | $102.81 | $451.95 | |
Anthem BCBS
| Professional | $45.40 | $58.04 | $79.26 | |
Cigna
| Facility | $59.92 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $43.74 | $71.36 | |
Medica
| Facility | $30.89 | $78.92 | $474.60 | |
Medica
| Professional | $31.89 | $48.85 | $119.02 | |
Qualchoice
| Professional | $46.00 | $46.00 | $88.23 | |
United
| Professional | $31.89 | $48.85 | $73.22 |