| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.82 | $26.25 | $26.89 | |
Ambetter
| Professional | $13.31 | $15.97 | $15.97 | |
Anthem BCBS
| Professional | $15.01 | $15.01 | $26.98 | |
CareSource
| Facility | $26.61 | $31.93 | $37.25 | |
CareSource
| Professional | $26.61 | $29.27 | $38.58 | |
Cigna
| Facility | $26.61 | $26.61 | $26.61 | |
Cigna
| Professional | $16.80 | $30.56 | $57.71 | |
United
| Professional | $15.97 | $32.71 | $49.07 |