| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $229.09 | $2,187.76 | |
Aetna
| Professional | $147.91 | $186.21 | $426.58 | |
Ambetter
| Professional | $199.53 | $234.42 | $251.19 | |
Anthem BCBS
| Facility | $190.55 | $316.23 | $398.11 | |
Anthem BCBS
| Professional | $151.36 | $190.55 | $331.13 | |
CareSource
| Facility | $309.03 | $389.05 | $467.74 | |
CareSource
| Professional | $331.13 | $389.05 | $467.74 | |
Cigna
| Facility | $186.21 | $194.98 | $316.23 | |
Cigna
| Professional | $141.25 | $141.25 | $275.42 | |
United
| Facility | $120.23 | $218.78 | $251.19 | |
United
| Professional | $104.71 | $154.88 | $229.09 |