| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.50 | $135.69 | $274.19 | |
Aetna
| Professional | $130.49 | $140.91 | $161.82 | |
Ambetter
| Professional | $50.00 | $205.64 | $287.89 | |
Anthem BCBS
| Facility | $216.61 | $245.40 | $274.19 | |
Anthem BCBS
| Professional | $133.76 | $148.53 | $204.97 | |
CareSource
| Facility | $206.76 | $301.61 | $411.29 | |
CareSource
| Professional | $233.06 | $301.61 | $370.16 | |
Cigna
| Facility | $135.00 | $135.00 | $274.19 | |
Cigna
| Professional | $98.55 | $135.00 | $244.22 | |
United
| Professional | $81.45 | $133.51 | $196.24 |