| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.07 | $304.07 | $304.07 | |
Aetna
| Professional | $245.74 | $308.82 | $576.25 | |
Ambetter
| Professional | $463.91 | $463.91 | $463.91 | |
Anthem BCBS
| Professional | $325.85 | $442.71 | $596.41 | |
CareSource
| Facility | $276.02 | $371.12 | $432.98 | |
CareSource
| Professional | $309.27 | $340.20 | $463.91 | |
Cigna
| Facility | $386.44 | $386.44 | $386.44 | |
Cigna
| Professional | $307.49 | $383.40 | $618.62 | |
United
| Professional | $295.64 | $356.20 | $501.39 |