| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $38.02 | $81.28 | |
Ambetter
| Professional | $42.66 | $52.48 | $61.66 | |
BCBS
| Professional | $31.62 | $31.62 | $41.69 | |
CareSource
| Professional | $45.71 | $45.71 | $45.71 | |
Cigna
| Professional | $91.20 | $95.50 | $97.72 | |
Qualchoice
| Professional | $48.98 | $60.26 | $70.79 | |
United
| Professional | $28.18 | $41.69 | $75.86 |