| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $87.10 | $446.68 | |
Ambetter
| Professional | $66.07 | $67.61 | $134.90 | |
Anthem BCBS
| Professional | $50.12 | $128.82 | $208.93 | |
CareSource
| Professional | $83.18 | $95.50 | $117.49 | |
Cigna
| Professional | $70.79 | $125.89 | $186.21 | |
United
| Professional | $56.23 | $83.18 | $154.88 |