| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $1,479.11 | $3,467.37 | |
Aetna
| Professional | $67.61 | $169.82 | $660.69 | |
Ambetter
| Professional | $57.54 | $89.13 | $323.59 | |
Anthem BCBS
| Facility | $109.65 | $229.09 | $229.09 | |
Anthem BCBS
| Professional | $74.13 | $275.42 | $870.96 | |
CareSource
| Facility | $74.13 | $77.62 | $87.10 | |
Cigna
| Facility | $229.09 | $229.09 | $229.09 | |
Cigna
| Professional | $85.11 | $398.11 | $891.25 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 | |
United
| Professional | $77.62 | $371.54 | $758.58 |