| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $2,344.23 | $5,623.41 | |
Aetna
| Professional | $70.79 | $199.53 | $645.65 | |
Ambetter
| Professional | $74.13 | $79.43 | $97.72 | |
Anthem BCBS
| Facility | $117.49 | $117.49 | $229.09 | |
Anthem BCBS
| Professional | $79.43 | $281.84 | $891.25 | |
CareSource
| Facility | $77.62 | $81.28 | $91.20 | |
Cigna
| Professional | $89.13 | $407.38 | $912.01 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 | |
United
| Professional | $81.28 | $380.19 | $776.25 |