| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.31 | $129.03 | $144.13 | |
Aetna
| Professional | $98.34 | $134.50 | $216.98 | |
Ambetter
| Professional | $148.81 | $165.34 | $224.37 | |
Anthem BCBS
| Professional | $114.47 | $160.34 | $231.71 | |
CareSource
| Facility | $100.50 | $140.75 | $249.09 | |
CareSource
| Professional | $145.84 | $172.02 | $224.37 | |
Cigna
| Facility | $163.28 | $163.28 | $180.00 | |
Cigna
| Professional | $114.87 | $161.34 | $239.43 | |
United
| Professional | $136.27 | $163.18 | $226.55 |