| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.52 | $244.59 | $1,215.56 | |
Aetna
| Professional | $157.46 | $186.52 | $237.55 | |
Ambetter
| Professional | $188.50 | $248.89 | $248.89 | |
Anthem BCBS
| Facility | $204.20 | $204.20 | $494.16 | |
Anthem BCBS
| Professional | $134.15 | $134.15 | $227.54 | |
CareSource
| Facility | $173.27 | $216.59 | $254.29 | |
CareSource
| Professional | $173.27 | $207.92 | $259.91 | |
Cigna
| Facility | $227.29 | $227.29 | $227.29 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
United
| Professional | $143.30 | $228.93 | $314.11 |