| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.86 | $2,185.67 | $7,212.00 | |
Aetna
| Professional | $296.86 | $566.40 | $874.44 | |
Ambetter
| Professional | $308.08 | $560.73 | $924.29 | |
Anthem BCBS
| Facility | $856.00 | $4,320.00 | $8,230.00 | |
Anthem BCBS
| Professional | $304.60 | $494.53 | $868.87 | |
CareSource
| Facility | $322.72 | $387.26 | $451.81 | |
CareSource
| Professional | $616.19 | $677.81 | $831.86 | |
Cigna
| Facility | $439.96 | $439.96 | $439.96 | |
Cigna
| Professional | $333.26 | $633.97 | $1,077.54 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 | |
United
| Professional | $509.95 | $723.15 | $1,058.86 |