| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.00 | $1,994.44 | $4,234.64 | |
Aetna
| Professional | $64.84 | $164.00 | $614.38 | |
Ambetter
| Professional | $63.38 | $63.38 | $79.22 | |
Anthem BCBS
| Facility | $110.00 | $230.00 | $230.00 | |
Anthem BCBS
| Professional | $88.00 | $244.37 | $829.63 | |
CareSource
| Facility | $71.04 | $90.55 | $459.95 | |
CareSource
| Professional | $325.83 | $391.00 | $488.75 | |
Cigna
| Facility | $230.00 | $230.00 | $230.00 | |
Cigna
| Professional | $90.27 | $415.63 | $845.93 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 | |
United
| Professional | $435.46 | $600.84 | $934.73 |