| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $395.39 | $480.66 | $584.37 | |
Ambetter
| Professional | $459.60 | $459.60 | $459.60 | |
Anthem BCBS
| Professional | $349.97 | $417.36 | $563.42 | |
CareSource
| Facility | $409.93 | $551.16 | $643.02 | |
CareSource
| Professional | $459.30 | $527.04 | $665.99 | |
Cigna
| Facility | $567.86 | $567.86 | $567.86 | |
Cigna
| Professional | $435.26 | $548.90 | $870.79 | |
United
| Professional | $387.01 | $463.63 | $670.34 |