| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.26 | $112.44 | $176.05 | |
Aetna
| Professional | $22.81 | $30.38 | $33.34 | |
Ambetter
| Professional | $17.55 | $17.55 | $17.55 | |
Anthem BCBS
| Facility | $27.72 | $31.58 | $105.27 | |
Anthem BCBS
| Professional | $16.39 | $19.10 | $26.31 | |
CareSource
| Facility | $35.09 | $42.11 | $49.13 | |
CareSource
| Professional | $35.09 | $38.60 | $49.74 | |
Cigna
| Facility | $28.16 | $35.09 | $90.56 | |
Cigna
| Professional | $21.04 | $25.21 | $55.70 | |
United
| Professional | $14.74 | $26.27 | $38.56 |