| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $316.23 | $354.81 | |
Aetna
| Professional | $288.40 | $323.59 | $446.68 | |
Ambetter
| Professional | $275.42 | $309.03 | $436.52 | |
Anthem BCBS
| Professional | $213.80 | $251.19 | $316.23 | |
CareSource
| Facility | $288.40 | $331.13 | $467.74 | |
CareSource
| Professional | $288.40 | $380.19 | $467.74 | |
Cigna
| Facility | $512.86 | $512.86 | $512.86 | |
Cigna
| Professional | $295.12 | $478.63 | $1,479.11 | |
Molina
| Professional | $32.36 | $33.11 | $263.03 | |
United
| Professional | $295.12 | $363.08 | $630.96 |