| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.01 | $57.44 | $90.11 | |
Ambetter
| Professional | $76.68 | $76.68 | $76.68 | |
Anthem BCBS
| Professional | $33.86 | $54.99 | $86.68 | |
CareSource
| Facility | $30.18 | $38.47 | $44.39 | |
CareSource
| Professional | $77.01 | $85.68 | $110.93 | |
Cigna
| Professional | $36.54 | $67.40 | $155.72 | |
United
| Professional | $64.66 | $78.20 | $105.11 |