| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $2,290.87 | $7,244.36 | |
Aetna
| Professional | $316.23 | $630.96 | $1,380.38 | |
Ambetter
| Professional | $309.03 | $630.96 | $933.25 | |
Anthem BCBS
| Facility | $2,454.71 | $4,466.84 | $8,709.64 | |
Anthem BCBS
| Professional | $323.59 | $549.54 | $1,122.02 | |
CareSource
| Facility | $331.13 | $407.38 | $457.09 | |
CareSource
| Professional | $616.60 | $691.83 | $851.14 | |
Cigna
| Facility | $398.11 | $630.96 | $1,071.52 | |
Cigna
| Professional | $302.00 | $575.44 | $933.25 | |
United
| Facility | $512.86 | $2,137.96 | $5,754.40 | |
United
| Professional | $309.03 | $537.03 | $912.01 |