| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $47.86 | $114.82 | |
Aetna
| Professional | $10.96 | $14.13 | $16.98 | |
Ambetter
| Professional | $7.24 | $9.77 | $20.42 | |
Anthem BCBS
| Facility | $14.13 | $16.98 | $18.20 | |
Anthem BCBS
| Professional | $7.24 | $7.24 | $8.91 | |
CareSource
| Facility | $16.98 | $20.42 | $23.99 | |
CareSource
| Professional | $16.98 | $20.42 | $27.54 | |
Cigna
| Facility | $11.22 | $27.54 | $27.54 | |
Cigna
| Professional | $8.32 | $83.18 | $83.18 | |
Molina
| Professional | $9.33 | $9.33 | $9.33 | |
United
| Professional | $7.08 | $12.02 | $19.95 |