| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.09 | $13.11 | $17.03 | |
Ambetter
| Professional | $13.24 | $13.24 | $13.24 | |
Anthem BCBS
| Professional | $12.16 | $15.20 | $19.80 | |
CareSource
| Facility | $13.34 | $14.01 | $18.68 | |
CareSource
| Professional | $14.10 | $14.23 | $17.79 | |
Cigna
| Facility | $23.17 | $23.17 | $23.17 | |
Cigna
| Professional | $12.48 | $16.95 | $25.11 | |
United
| Professional | $13.13 | $15.75 | $20.30 |