| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $97.72 | $812.83 | |
Aetna
| Professional | $14.79 | $58.88 | $144.54 | |
Ambetter
| Professional | $10.72 | $15.14 | $26.92 | |
Anthem BCBS
| Facility | $17.78 | $17.78 | $53.70 | |
Anthem BCBS
| Professional | $8.32 | $8.91 | $17.78 | |
CareSource
| Facility | $14.45 | $17.78 | $23.44 | |
CareSource
| Professional | $11.75 | $17.78 | $21.38 | |
Cigna
| Facility | $13.18 | $17.78 | $39.81 | |
Cigna
| Professional | $12.02 | $38.90 | $48.98 | |
United
| Facility | $8.13 | $17.78 | $17.78 | |
United
| Professional | $7.59 | $11.48 | $19.50 |