| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.24 | $235.76 | $235.76 | |
Aetna
| Professional | $201.30 | $235.75 | $266.33 | |
Ambetter
| Professional | $129.00 | $250.00 | $256.45 | |
Anthem BCBS
| Professional | $155.61 | $207.49 | $279.52 | |
CareSource
| Facility | $312.06 | $318.27 | $389.00 | |
CareSource
| Professional | $255.96 | $318.27 | $397.85 | |
Cigna
| Professional | $65.81 | $65.81 | $273.89 | |
United
| Professional | $207.49 | $207.49 | $207.49 |