| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.11 | $245.11 | $495.23 | |
Aetna
| Professional | $235.68 | $254.53 | $265.99 | |
Ambetter
| Professional | $346.66 | $346.66 | $346.66 | |
Anthem BCBS
| Facility | $391.23 | $443.23 | $495.23 | |
Anthem BCBS
| Professional | $144.94 | $268.12 | $361.96 | |
CareSource
| Facility | $373.48 | $544.75 | $742.85 | |
CareSource
| Professional | $420.95 | $544.75 | $668.56 | |
Cigna
| Facility | $312.81 | $312.81 | $495.23 | |
Cigna
| Professional | $228.35 | $312.81 | $507.99 | |
United
| Professional | $147.19 | $236.75 | $334.94 |