| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.42 | $271.42 | $548.39 | |
Aetna
| Professional | $260.99 | $281.86 | $323.64 | |
Ambetter
| Professional | $411.29 | $411.29 | $411.29 | |
Anthem BCBS
| Facility | $433.23 | $490.81 | $548.39 | |
Anthem BCBS
| Professional | $267.52 | $295.10 | $407.23 | |
CareSource
| Facility | $413.49 | $603.23 | $822.59 | |
CareSource
| Professional | $466.13 | $603.23 | $740.33 | |
Cigna
| Facility | $321.89 | $336.03 | $548.39 | |
Cigna
| Professional | $245.30 | $245.30 | $562.54 | |
United
| Professional | $162.93 | $262.16 | $370.79 |