| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.11 | $112.21 | $148.84 | |
Ambetter
| Professional | $127.53 | $154.21 | $181.43 | |
BCBS
| Facility | $265.83 | $265.83 | $265.83 | |
BCBS
| Professional | $100.11 | $132.50 | $147.22 | |
CareSource
| Facility | $76.83 | $83.66 | $158.78 | |
CareSource
| Professional | $90.93 | $130.31 | $186.96 | |
Cigna
| Professional | $84.00 | $119.00 | $199.58 | |
Qualchoice
| Professional | $146.66 | $177.34 | $208.64 | |
United
| Professional | $101.24 | $129.79 | $228.63 |