| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.44 | $241.44 | $487.80 | |
Aetna
| Professional | $232.15 | $250.72 | $264.64 | |
Ambetter
| Professional | $365.85 | $365.85 | $365.85 | |
Anthem BCBS
| Facility | $385.36 | $436.58 | $487.80 | |
Anthem BCBS
| Professional | $237.96 | $276.35 | $381.36 | |
CareSource
| Facility | $389.09 | $536.58 | $731.70 | |
CareSource
| Professional | $414.63 | $536.58 | $658.53 | |
Cigna
| Facility | $297.02 | $297.02 | $487.80 | |
Cigna
| Professional | $216.82 | $297.02 | $500.39 | |
United
| Professional | $151.51 | $233.92 | $342.41 |