| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.48 | $12.02 | $21.88 | |
Aetna
| Professional | $9.77 | $12.30 | $36.31 | |
Ambetter
| Professional | $5.01 | $7.24 | $12.88 | |
BCBS
| Facility | $9.33 | $14.13 | $25.12 | |
BCBS
| Professional | $8.91 | $9.33 | $9.33 | |
CareSource
| Facility | $13.18 | $13.18 | $31.62 | |
Cigna
| Professional | $7.08 | $14.45 | $19.05 | |
Health Alliance Plan
| Facility | $11.48 | $12.02 | $107.15 | |
Health Alliance Plan
| Professional | $8.51 | $12.02 | $22.39 | |
Priority Health
| Professional | $6.61 | $8.13 | $30.90 | |
United
| Facility | $6.31 | $12.59 | $12.59 | |
United
| Professional | $3.80 | $5.50 | $8.13 |