| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.58 | $293.58 | $293.58 | |
Aetna
| Professional | $263.08 | $308.82 | $598.38 | |
Ambetter
| Professional | $316.23 | $366.43 | $366.43 | |
Anthem BCBS
| Professional | $301.48 | $365.33 | $526.97 | |
CareSource
| Facility | $292.86 | $384.23 | $468.57 | |
CareSource
| Professional | $297.39 | $406.09 | $624.76 | |
Cigna
| Facility | $386.44 | $386.44 | $386.44 | |
Cigna
| Professional | $307.49 | $415.17 | $660.10 | |
Molina
| Professional | $32.34 | $32.34 | $406.09 | |
United
| Professional | $284.95 | $375.79 | $543.05 |