| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.66 | $219.57 | $327.55 | |
Ambetter
| Professional | $189.80 | $189.80 | $189.80 | |
Anthem BCBS
| Professional | $171.25 | $176.39 | $257.24 | |
CareSource
| Professional | $208.78 | $259.01 | $313.17 | |
Cigna
| Professional | $197.51 | $199.09 | $1,043.05 | |
Molina
| Professional | $32.34 | $32.34 | $208.78 | |
United
| Professional | $146.28 | $242.10 | $344.42 |