| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.77 | $338.45 | $351.99 | |
Aetna
| Professional | $302.18 | $370.60 | $421.44 | |
Ambetter
| Professional | $533.38 | $604.50 | $604.50 | |
Anthem BCBS
| Facility | $442.70 | $711.17 | $747.44 | |
Anthem BCBS
| Professional | $332.63 | $401.40 | $424.98 | |
CareSource
| Facility | $533.38 | $1,002.75 | $1,265.08 | |
CareSource
| Professional | $675.61 | $909.28 | $1,173.43 | |
Cigna
| Facility | $440.05 | $440.05 | $857.82 | |
Cigna
| Professional | $321.24 | $440.05 | $3,595.38 | |
Molina
| Professional | $311.72 | $395.35 | $475.18 | |
United
| Professional | $236.53 | $356.17 | $513.79 |