| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.06 | $259.70 | $466.58 | |
Aetna
| Professional | $198.21 | $226.54 | $459.63 | |
Ambetter
| Professional | $285.54 | $324.38 | $419.92 | |
BCBS
| Professional | $216.06 | $285.95 | $285.95 | |
CareSource
| Facility | $192.05 | $290.50 | $311.44 | |
CareSource
| Professional | $220.33 | $238.00 | $316.12 | |
Cigna
| Professional | $200.60 | $302.14 | $395.73 | |
Qualchoice
| Professional | $328.37 | $358.58 | $482.91 | |
United
| Professional | $188.08 | $237.46 | $395.56 |