| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $311.14 | $367.79 | $449.48 | |
Ambetter
| Professional | $310.35 | $310.35 | $310.35 | |
Anthem BCBS
| Professional | $363.80 | $743.76 | $1,093.35 | |
CareSource
| Professional | $310.35 | $364.08 | $455.83 | |
Cigna
| Professional | $310.38 | $310.38 | $934.00 | |
United
| Professional | $335.75 | $480.90 | $864.89 |