| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.13 | $246.65 | $282.60 | |
Aetna
| Professional | $200.41 | $228.00 | $258.99 | |
Ambetter
| Professional | $129.00 | $234.05 | $256.45 | |
Anthem BCBS
| Professional | $37.97 | $207.49 | $207.49 | |
CareSource
| Facility | $280.81 | $364.07 | $445.59 | |
CareSource
| Professional | $294.35 | $357.39 | $511.92 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Molina
| Professional | $3,000.00 | $3,000.00 | $3,000.00 |