| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.71 | $555.02 | $867.03 | |
Aetna
| Professional | $211.93 | $231.06 | $270.00 | |
Ambetter
| Professional | $195.52 | $250.73 | $398.27 | |
Anthem BCBS
| Facility | $225.08 | $225.08 | $614.20 | |
Anthem BCBS
| Professional | $218.90 | $310.61 | $391.71 | |
CareSource
| Facility | $219.27 | $295.29 | $343.95 | |
CareSource
| Professional | $229.71 | $270.25 | $331.67 | |
Cigna
| Professional | $239.90 | $301.92 | $417.40 | |
United
| Professional | $188.25 | $252.14 | $417.62 |