| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.62 | $30.63 | $41.21 | |
Ambetter
| Professional | $26.61 | $30.07 | $31.30 | |
BCBS
| Professional | $30.91 | $41.22 | $51.52 | |
CareSource
| Facility | $26.61 | $26.61 | $31.93 | |
CareSource
| Professional | $17.30 | $17.30 | $26.61 | |
Cigna
| Professional | $15.74 | $29.63 | $44.49 | |
Qualchoice
| Professional | $30.60 | $34.58 | $44.06 | |
United
| Professional | $15.53 | $20.56 | $34.95 |