| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.23 | $16.98 | $131.83 | |
Aetna
| Professional | $7.08 | $7.94 | $38.02 | |
Ambetter
| Professional | $5.13 | $5.13 | $5.13 | |
Anthem BCBS
| Facility | $10.23 | $10.23 | $30.90 | |
Anthem BCBS
| Professional | $5.13 | $6.31 | $12.88 | |
CareSource
| Facility | $7.59 | $7.59 | $12.88 | |
Cigna
| Facility | $8.32 | $13.80 | $20.89 | |
Cigna
| Professional | $5.25 | $7.24 | $22.39 | |
United
| Facility | $4.68 | $10.23 | $10.23 | |
United
| Professional | $4.37 | $5.62 | $10.23 |