| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.88 | $126.02 | $126.02 | |
Aetna
| Professional | $120.16 | $130.19 | $154.80 | |
Ambetter
| Professional | $113.22 | $153.51 | $237.80 | |
Anthem BCBS
| Facility | $127.53 | $127.53 | $246.13 | |
Anthem BCBS
| Professional | $91.52 | $127.53 | $175.99 | |
CareSource
| Facility | $121.74 | $146.09 | $182.61 | |
CareSource
| Professional | $123.83 | $143.52 | $185.75 | |
Cigna
| Professional | $134.12 | $161.85 | $236.98 | |
United
| Professional | $113.44 | $150.11 | $235.42 |