| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $302.00 | $562.34 | |
Aetna
| Professional | $288.40 | $331.13 | $489.78 | |
Ambetter
| Professional | $275.42 | $302.00 | $588.84 | |
Anthem BCBS
| Facility | $309.03 | $309.03 | $588.84 | |
Anthem BCBS
| Professional | $239.88 | $309.03 | $489.78 | |
CareSource
| Facility | $309.03 | $316.23 | $363.08 | |
CareSource
| Professional | $269.15 | $269.15 | $269.15 | |
Cigna
| Professional | $309.03 | $398.11 | $562.34 | |
United
| Professional | $281.84 | $354.81 | $562.34 |