| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $600.00 | $794.83 | $1,150.56 | |
Ambetter
| Professional | $653.12 | $653.12 | $653.12 | |
Anthem BCBS
| Professional | $13.97 | $515.99 | $827.19 | |
CareSource
| Professional | $653.12 | $783.74 | $1,085.85 | |
Cigna
| Professional | $671.87 | $935.21 | $1,860.19 | |
Molina
| Professional | $32.34 | $32.34 | $849.06 | |
United
| Professional | $365.86 | $670.74 | $1,171.83 |