| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $22.91 | $38.02 | |
Ambetter
| Professional | $22.91 | $35.48 | $36.31 | |
BCBS
| Professional | $21.88 | $23.99 | $31.62 | |
CareSource
| Facility | $21.38 | $21.38 | $21.38 | |
CareSource
| Professional | $22.39 | $22.39 | $22.39 | |
Cigna
| Professional | $20.89 | $27.54 | $37.15 | |
Qualchoice
| Professional | $26.30 | $40.74 | $42.66 | |
United
| Professional | $16.98 | $22.39 | $33.11 |