| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $83.18 | $144.54 | |
Ambetter
| Professional | $72.44 | $97.72 | $134.90 | |
BCBS
| Professional | $128.82 | $134.90 | $144.54 | |
CareSource
| Professional | $104.71 | $104.71 | $186.21 | |
Cigna
| Professional | $69.18 | $93.33 | $213.80 | |
Health Alliance Plan
| Professional | $38.90 | $87.10 | $144.54 | |
Priority Health
| Professional | $58.88 | $85.11 | $213.80 | |
United
| Professional | $60.26 | $83.18 | $123.03 |