| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $33.11 | $407.38 | |
Aetna
| Professional | $16.98 | $44.67 | $478.63 | |
Ambetter
| Professional | $245.47 | $245.47 | $245.47 | |
Anthem BCBS
| Facility | $17.38 | $616.60 | $812.83 | |
Anthem BCBS
| Professional | $17.38 | $56.23 | $114.82 | |
CareSource
| Facility | $18.20 | $18.20 | $18.62 | |
Cigna
| Facility | $33.11 | $33.11 | $33.11 | |
Cigna
| Professional | $16.98 | $134.90 | $575.44 | |
United
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Professional | $15.14 | $75.86 | $302.00 |