| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.14 | $189.20 | $334.44 | |
Aetna
| Professional | $43.50 | $56.40 | $64.65 | |
Ambetter
| Professional | $31.07 | $31.07 | $62.14 | |
Anthem BCBS
| Facility | $49.09 | $55.93 | $186.42 | |
Anthem BCBS
| Professional | $28.73 | $31.92 | $42.87 | |
CareSource
| Facility | $57.26 | $65.25 | $87.00 | |
CareSource
| Professional | $40.39 | $62.14 | $83.89 | |
Cigna
| Facility | $46.69 | $62.14 | $150.08 | |
Cigna
| Professional | $30.87 | $71.45 | $89.31 | |
United
| Professional | $26.10 | $37.28 | $62.14 |