| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.00 | $277.00 | $284.32 | |
Aetna
| Professional | $253.81 | $274.49 | $325.26 | |
Ambetter
| Professional | $289.05 | $289.05 | $289.05 | |
Anthem BCBS
| Professional | $193.85 | $258.47 | $348.21 | |
CareSource
| Facility | $352.83 | $373.95 | $457.05 | |
CareSource
| Professional | $290.85 | $353.68 | $467.44 | |
Cigna
| Professional | $22.70 | $22.70 | $341.18 | |
United
| Professional | $258.47 | $258.47 | $258.47 |