| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.01 | $32.94 | $100.34 | |
Aetna
| Professional | $16.23 | $19.57 | $35.89 | |
Ambetter
| Professional | $21.96 | $21.96 | $21.96 | |
Anthem BCBS
| Facility | $17.35 | $20.05 | $65.88 | |
Anthem BCBS
| Professional | $10.39 | $11.42 | $16.11 | |
CareSource
| Facility | $21.96 | $26.36 | $29.65 | |
CareSource
| Professional | $21.96 | $25.25 | $31.13 | |
Cigna
| Facility | $14.27 | $21.96 | $57.02 | |
Cigna
| Professional | $13.44 | $25.19 | $53.32 | |
United
| Professional | $7.68 | $10.25 | $24.13 |