| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.70 | $313.58 | $356.69 | |
Aetna
| Professional | $291.99 | $315.02 | $446.96 | |
Ambetter
| Professional | $306.49 | $407.57 | $407.57 | |
Anthem BCBS
| Professional | $212.69 | $254.78 | $356.09 | |
CareSource
| Facility | $286.86 | $395.50 | $465.30 | |
CareSource
| Professional | $316.58 | $407.13 | $581.62 | |
Cigna
| Facility | $508.92 | $508.92 | $508.92 | |
Cigna
| Professional | $263.70 | $425.39 | $656.07 | |
Molina
| Professional | $32.34 | $196.36 | $272.29 | |
United
| Professional | $298.11 | $396.65 | $659.24 |