| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.82 | $204.17 | $228.36 | |
Aetna
| Professional | $191.43 | $207.25 | $362.37 | |
Ambetter
| Professional | $192.05 | $245.38 | $264.25 | |
Anthem BCBS
| Professional | $136.71 | $163.11 | $232.22 | |
CareSource
| Facility | $187.42 | $226.50 | $302.00 | |
CareSource
| Professional | $191.59 | $239.49 | $307.27 | |
Cigna
| Facility | $330.31 | $330.31 | $330.31 | |
Cigna
| Professional | $168.80 | $273.41 | $439.01 | |
Molina
| Professional | $32.34 | $125.71 | $174.32 | |
United
| Professional | $190.81 | $250.70 | $422.00 |