| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.59 | $255.24 | $846.08 | |
Aetna
| Professional | $85.59 | $101.78 | $128.40 | |
Ambetter
| Professional | $78.30 | $78.30 | $78.30 | |
Anthem BCBS
| Facility | $123.71 | $140.15 | $469.77 | |
Anthem BCBS
| Professional | $45.77 | $45.77 | $107.73 | |
CareSource
| Facility | $144.35 | $164.42 | $211.40 | |
CareSource
| Professional | $101.78 | $156.59 | $211.40 | |
Cigna
| Facility | $101.78 | $156.59 | $295.89 | |
Cigna
| Professional | $77.28 | $163.50 | $204.38 | |
United
| Professional | $63.00 | $71.19 | $132.10 |