| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.33 | $148.16 | $148.16 | |
Aetna
| Professional | $139.63 | $153.02 | $182.74 | |
Ambetter
| Professional | $149.56 | $222.33 | $300.00 | |
Anthem BCBS
| Facility | $149.54 | $149.54 | $288.61 | |
Anthem BCBS
| Professional | $109.38 | $149.54 | $208.53 | |
CareSource
| Facility | $145.84 | $175.01 | $204.18 | |
CareSource
| Professional | $148.22 | $170.45 | $212.26 | |
Cigna
| Professional | $158.18 | $190.90 | $277.08 | |
United
| Professional | $136.29 | $171.02 | $282.19 |