| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $194.98 | $363.08 | |
Aetna
| Professional | $186.21 | $208.93 | $316.23 | |
Ambetter
| Professional | $177.83 | $234.42 | $426.58 | |
Anthem BCBS
| Facility | $194.98 | $194.98 | $380.19 | |
Anthem BCBS
| Professional | $154.88 | $199.53 | $316.23 | |
CareSource
| Facility | $199.53 | $208.93 | $234.42 | |
CareSource
| Professional | $173.78 | $173.78 | $173.78 | |
Cigna
| Facility | $213.80 | $331.13 | $346.74 | |
Cigna
| Professional | $199.53 | $257.04 | $363.08 | |
United
| Professional | $181.97 | $229.09 | $363.08 |