| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.30 | $21.88 | $123.03 | |
Aetna
| Professional | $9.77 | $11.22 | $26.30 | |
Ambetter
| Professional | $5.37 | $8.13 | $18.62 | |
Anthem BCBS
| Facility | $12.59 | $12.59 | $38.02 | |
Anthem BCBS
| Professional | $5.89 | $6.46 | $9.55 | |
CareSource
| Facility | $11.22 | $12.59 | $16.22 | |
CareSource
| Professional | $8.13 | $12.59 | $15.14 | |
Cigna
| Facility | $8.13 | $12.59 | $27.54 | |
Cigna
| Professional | $7.76 | $18.20 | $23.44 | |
United
| Facility | $5.62 | $12.59 | $12.59 | |
United
| Professional | $5.25 | $7.59 | $12.59 |