| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.48 | $361.48 | $624.85 | |
Aetna
| Professional | $333.66 | $375.38 | $586.95 | |
Ambetter
| Professional | $539.12 | $634.26 | $634.26 | |
Anthem BCBS
| Facility | $493.63 | $559.24 | $624.85 | |
Anthem BCBS
| Professional | $542.44 | $653.37 | $880.22 | |
CareSource
| Facility | $511.56 | $687.34 | $937.28 | |
CareSource
| Professional | $531.12 | $687.34 | $843.55 | |
Cigna
| Facility | $621.29 | $647.80 | $647.80 | |
Cigna
| Professional | $472.90 | $472.90 | $862.45 | |
United
| Professional | $306.26 | $482.50 | $733.69 |