| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.14 | $93.78 | $173.82 | |
Ambetter
| Professional | $61.44 | $61.44 | $74.37 | |
Anthem BCBS
| Professional | $69.91 | $82.25 | $167.19 | |
CareSource
| Professional | $61.44 | $73.73 | $101.38 | |
Cigna
| Professional | $78.92 | $139.46 | $242.07 | |
Molina
| Professional | $32.34 | $32.34 | $79.87 | |
United
| Professional | $80.83 | $129.88 | $186.31 |