| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $33.88 | $100.00 | |
Aetna
| Professional | $16.22 | $19.05 | $58.88 | |
Ambetter
| Professional | $13.18 | $13.18 | $13.18 | |
Anthem BCBS
| Facility | $21.88 | $21.88 | $66.07 | |
Anthem BCBS
| Professional | $10.47 | $12.88 | $21.88 | |
CareSource
| Facility | $13.18 | $13.18 | $27.54 | |
Cigna
| Facility | $14.13 | $21.88 | $48.98 | |
Cigna
| Professional | $15.85 | $19.05 | $47.86 | |
United
| Facility | $9.77 | $21.88 | $21.88 | |
United
| Professional | $7.76 | $10.23 | $21.88 |