| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.46 | $252.90 | $388.81 | |
Ambetter
| Professional | $214.80 | $214.80 | $214.80 | |
BCBS
| Professional | $317.92 | $351.38 | $451.78 | |
CareSource
| Professional | $257.52 | $281.52 | $435.15 | |
Cigna
| Professional | $199.98 | $199.98 | $1,010.20 | |
Health Alliance Plan
| Professional | $215.19 | $237.82 | $313.56 | |
Molina
| Professional | $188.63 | $228.01 | $310.38 | |
United
| Professional | $206.54 | $269.33 | $382.27 |