| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.56 | $241.25 | $294.41 | |
Ambetter
| Professional | $200.13 | $200.13 | $200.13 | |
Anthem BCBS
| Professional | $192.66 | $354.00 | $502.68 | |
CareSource
| Professional | $200.13 | $220.14 | $295.73 | |
Cigna
| Professional | $199.98 | $199.98 | $1,488.81 | |
United
| Professional | $178.00 | $266.63 | $473.56 |