| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.29 | $73.48 | $174.24 | |
Aetna
| Professional | $73.48 | $73.48 | $112.46 | |
Ambetter
| Professional | $94.78 | $94.78 | $94.78 | |
BCBS
| Facility | $30.94 | $30.94 | $30.94 | |
BCBS
| Professional | $73.48 | $73.48 | $73.48 | |
CareSource
| Facility | $70.29 | $70.29 | $84.35 | |
CareSource
| Professional | $45.69 | $45.69 | $70.29 | |
Cigna
| Facility | $45.69 | $53.00 | $91.84 | |
Cigna
| Professional | $60.37 | $73.48 | $73.48 | |
United
| Facility | $66.20 | $66.20 | $66.20 | |
United
| Professional | $34.40 | $44.09 | $83.11 |