| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.61 | $72.08 | $197.20 | |
Aetna
| Professional | $10.13 | $22.38 | $22.38 | |
Ambetter
| Professional | $14.38 | $14.38 | $14.38 | |
BCBS
| Facility | $16.39 | $16.39 | $16.39 | |
BCBS
| Professional | $14.38 | $21.57 | $23.97 | |
CareSource
| Facility | $15.10 | $15.10 | $15.10 | |
CareSource
| Professional | $9.35 | $9.35 | $14.38 | |
Cigna
| Facility | $10.85 | $17.77 | $36.46 | |
Cigna
| Professional | $8.52 | $16.52 | $20.65 | |
United
| Professional | $3.79 | $6.04 | $14.38 |