| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.43 | $194.79 | $194.79 | |
Aetna
| Professional | $185.96 | $201.55 | $239.37 | |
Ambetter
| Professional | $174.30 | $240.06 | $365.15 | |
Anthem BCBS
| Facility | $196.39 | $196.39 | $379.03 | |
Anthem BCBS
| Professional | $140.85 | $196.39 | $271.01 | |
CareSource
| Facility | $187.42 | $224.90 | $281.13 | |
CareSource
| Professional | $190.40 | $220.33 | $285.60 | |
Cigna
| Professional | $206.32 | $250.46 | $364.93 | |
United
| Professional | $174.72 | $234.98 | $382.70 |