| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $45.71 | $204.17 | |
Ambetter
| Professional | $47.86 | $47.86 | $67.61 | |
BCBS
| Professional | $54.95 | $57.54 | $61.66 | |
CareSource
| Professional | $35.48 | $39.81 | $77.62 | |
Cigna
| Professional | $67.61 | $128.82 | $190.55 | |
Health Alliance Plan
| Professional | $35.48 | $50.12 | $120.23 | |
Priority Health
| Professional | $52.48 | $117.49 | $169.82 | |
United
| Professional | $33.88 | $45.71 | $85.11 |