| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.82 | $99.27 | $336.60 | |
Aetna
| Professional | $16.86 | $20.04 | $24.08 | |
Ambetter
| Professional | $4.82 | $4.82 | $30.10 | |
Anthem BCBS
| Facility | $14.99 | $21.67 | $25.31 | |
Anthem BCBS
| Professional | $8.91 | $11.89 | $34.11 | |
CareSource
| Facility | $24.08 | $28.90 | $33.71 | |
CareSource
| Professional | $24.08 | $29.14 | $48.16 | |
Cigna
| Facility | $15.65 | $18.37 | $51.70 | |
Cigna
| Professional | $12.22 | $34.11 | $116.07 | |
Molina
| Professional | $13.24 | $13.24 | $13.24 | |
United
| Professional | $10.11 | $20.47 | $34.11 |