| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $451.56 | $451.56 | $948.84 | |
Aetna
| Professional | $422.41 | $451.56 | $469.62 | |
Ambetter
| Professional | $664.19 | $664.19 | $711.63 | |
Anthem BCBS
| Facility | $749.58 | $849.21 | $948.84 | |
Anthem BCBS
| Professional | $462.86 | $510.00 | $703.80 | |
CareSource
| Facility | $711.63 | $1,043.72 | $1,328.38 | |
CareSource
| Professional | $806.51 | $1,043.72 | $1,280.93 | |
Cigna
| Facility | $501.15 | $501.15 | $948.84 | |
Cigna
| Professional | $365.84 | $501.15 | $973.32 | |
United
| Professional | $266.75 | $473.36 | $633.97 |