| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.15 | $6,650.48 | $13,676.17 | |
Aetna
| Professional | $180.74 | $200.02 | $854.00 | |
Ambetter
| Professional | $169.25 | $272.99 | $272.99 | |
Anthem BCBS
| Facility | $308.60 | $308.60 | $13,921.00 | |
Anthem BCBS
| Professional | $187.12 | $308.60 | $425.86 | |
CareSource
| Facility | $181.99 | $227.49 | $272.99 | |
CareSource
| Professional | $181.99 | $218.39 | $272.52 | |
Cigna
| Professional | $206.86 | $291.68 | $599.49 | |
United
| Facility | $933.00 | $2,252.00 | $5,520.00 | |
United
| Professional | $171.27 | $238.11 | $394.25 |