| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.54 | $247.80 | $279.32 | |
Aetna
| Professional | $230.20 | $248.27 | $350.58 | |
Ambetter
| Professional | $241.65 | $241.65 | $241.65 | |
Anthem BCBS
| Professional | $166.79 | $199.51 | $281.50 | |
CareSource
| Facility | $225.95 | $311.52 | $366.50 | |
CareSource
| Professional | $249.41 | $320.68 | $458.12 | |
Cigna
| Facility | $400.86 | $400.86 | $400.86 | |
Cigna
| Professional | $206.53 | $333.61 | $536.91 | |
Molina
| Professional | $32.34 | $153.77 | $213.23 | |
United
| Professional | $240.22 | $305.58 | $516.46 |