| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.00 | $232.49 | $526.32 | |
Aetna
| Professional | $96.99 | $103.88 | $128.37 | |
Ambetter
| Professional | $99.84 | $99.84 | $99.84 | |
Anthem BCBS
| Facility | $112.68 | $127.65 | $427.89 | |
Anthem BCBS
| Professional | $57.05 | $57.05 | $78.72 | |
CareSource
| Facility | $142.63 | $171.16 | $199.68 | |
CareSource
| Professional | $142.63 | $156.88 | $202.18 | |
Cigna
| Facility | $92.71 | $269.60 | $556.77 | |
Cigna
| Professional | $64.22 | $102.75 | $207.00 | |
United
| Professional | $59.90 | $85.58 | $156.75 |