| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $311.14 | $398.58 | $661.69 | |
Ambetter
| Professional | $307.77 | $307.77 | $333.83 | |
BCBS
| Professional | $493.42 | $545.36 | $701.18 | |
CareSource
| Professional | $399.82 | $437.37 | $676.04 | |
Cigna
| Professional | $310.38 | $310.38 | $1,611.26 | |
Health Alliance Plan
| Professional | $281.19 | $369.32 | $492.56 | |
Molina
| Professional | $269.47 | $325.72 | $443.40 | |
United
| Professional | $364.34 | $460.33 | $732.20 |