| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.33 | $53.51 | $112.70 | |
Aetna
| Professional | $45.22 | $45.23 | $49.75 | |
Ambetter
| Professional | $17.67 | $17.67 | $56.15 | |
BCBS
| Facility | $35.33 | $35.33 | $35.33 | |
BCBS
| Professional | $45.23 | $45.23 | $45.23 | |
CareSource
| Facility | $37.10 | $37.10 | $37.10 | |
CareSource
| Professional | $22.96 | $22.96 | $35.33 | |
Cigna
| Facility | $22.96 | $26.63 | $46.15 | |
Cigna
| Professional | $17.48 | $45.23 | $50.75 | |
United
| Professional | $18.95 | $27.14 | $45.11 |