| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.53 | $572.00 | $2,493.00 | |
Aetna
| Professional | $2.63 | $6.11 | $74.79 | |
Aetna
| Professional | 52 | $1.12 | $2.44 | $4.93 |
Ambetter
| Professional | $7.91 | $7.91 | $7.91 | |
BCBS
| Professional | $2.09 | $3.08 | $8.81 | |
CareSource
| Professional | $6.37 | $6.37 | $6.37 | |
Cigna
| Facility | $44.76 | $44.76 | $44.76 | |
Cigna
| Professional | $1.85 | $6.44 | $10.31 | |
Qualchoice
| Professional | $6.75 | $9.10 | $11.40 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $4.92 | $6.94 | $13.93 |