| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.08 | $60.20 | $129.40 | |
Aetna
| Professional | $16.86 | $20.48 | $24.08 | |
Ambetter
| Professional | $12.04 | $12.04 | $21.00 | |
Anthem BCBS
| Facility | $19.02 | $21.67 | $72.23 | |
Anthem BCBS
| Professional | $8.61 | $10.10 | $16.61 | |
CareSource
| Facility | $24.08 | $26.49 | $33.71 | |
CareSource
| Professional | $15.65 | $25.28 | $32.51 | |
Cigna
| Facility | $19.32 | $24.08 | $62.06 | |
Cigna
| Professional | $12.22 | $21.67 | $34.59 | |
United
| Facility | $24.08 | $24.08 | $24.08 | |
United
| Professional | $10.11 | $14.45 | $24.08 |