| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.71 | $198.29 | $396.08 | |
Ambetter
| Professional | $145.37 | $145.37 | $145.37 | |
Anthem BCBS
| Professional | $154.07 | $181.27 | $371.87 | |
CareSource
| Professional | $39.29 | $51.41 | $218.64 | |
Cigna
| Professional | $167.68 | $310.61 | $475.99 | |
Molina
| Professional | $32.34 | $32.34 | $188.98 | |
United
| Professional | $180.19 | $278.86 | $368.87 |