| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.88 | $56.83 | $89.89 | |
Ambetter
| Professional | $15.00 | $45.83 | $67.75 | |
Anthem BCBS
| Professional | $33.08 | $33.08 | $76.73 | |
CareSource
| Professional | $69.36 | $86.35 | $109.59 | |
Cigna
| Professional | $30.86 | $80.84 | $157.02 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $43.38 | $64.25 | $117.97 |