| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.31 | $54.62 | $75.59 | |
Ambetter
| Professional | $15.00 | $15.00 | $46.73 | |
Anthem BCBS
| Professional | $33.08 | $33.08 | $45.41 | |
CareSource
| Professional | $69.06 | $76.30 | $100.57 | |
Cigna
| Professional | $23.03 | $72.64 | $125.50 | |
United
| Professional | $37.13 | $61.72 | $112.95 |