| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.76 | $61.58 | $156.07 | |
Aetna
| Professional | $22.81 | $30.38 | $40.60 | |
Ambetter
| Professional | $24.21 | $35.79 | $35.79 | |
Anthem BCBS
| Facility | $16.76 | $31.58 | $36.88 | |
Anthem BCBS
| Professional | $16.23 | $16.39 | $19.10 | |
CareSource
| Facility | $38.60 | $49.13 | $57.90 | |
CareSource
| Professional | $35.09 | $45.62 | $58.95 | |
Cigna
| Facility | $22.81 | $27.30 | $79.05 | |
Cigna
| Professional | $16.22 | $44.47 | $169.13 | |
United
| Professional | $21.05 | $28.66 | $47.76 |