| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $977.24 | $1,621.81 | |
Aetna
| Professional | $194.98 | $239.88 | $741.31 | |
Ambetter
| Professional | $346.74 | $346.74 | $660.69 | |
Anthem BCBS
| Facility | $162.18 | $162.18 | $309.03 | |
Anthem BCBS
| Professional | $151.36 | $169.82 | $323.59 | |
CareSource
| Facility | $204.17 | $269.15 | $309.03 | |
CareSource
| Professional | $204.17 | $234.42 | $288.40 | |
Cigna
| Facility | $263.03 | $263.03 | $2,454.71 | |
Cigna
| Professional | $114.82 | $245.47 | $407.38 | |
United
| Facility | $218.78 | $218.78 | $229.09 | |
United
| Professional | $165.96 | $245.47 | $426.58 |