| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.66 | $194.33 | $194.33 | |
Aetna
| Professional | $184.92 | $199.91 | $238.19 | |
Ambetter
| Professional | $233.71 | $263.44 | $384.96 | |
Anthem BCBS
| Facility | $196.70 | $196.70 | $379.63 | |
Anthem BCBS
| Professional | $140.59 | $196.70 | $271.44 | |
CareSource
| Facility | $186.97 | $224.36 | $261.76 | |
CareSource
| Professional | $190.55 | $202.46 | $273.88 | |
Cigna
| Professional | $205.66 | $250.76 | $364.50 | |
United
| Professional | $180.92 | $226.57 | $373.59 |