| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.54 | $47.89 | $276.88 | |
Aetna
| Professional | $13.71 | $14.10 | $17.14 | |
Ambetter
| Professional | $21.43 | $21.43 | $21.43 | |
Anthem BCBS
| Facility | $8.57 | $15.43 | $18.01 | |
Anthem BCBS
| Professional | $7.18 | $7.18 | $8.57 | |
CareSource
| Facility | $15.78 | $19.21 | $27.42 | |
CareSource
| Professional | $17.14 | $20.57 | $34.28 | |
Cigna
| Facility | $11.14 | $13.08 | $25.58 | |
Cigna
| Professional | $7.76 | $19.95 | $82.61 | |
Molina
| Professional | $9.43 | $9.43 | $9.43 | |
United
| Professional | $7.11 | $11.97 | $19.95 |