| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.02 | $24.24 | $45.83 | |
Aetna
| Professional | 52 | $9.05 | $10.76 | $15.07 |
Ambetter
| Professional | $16.78 | $19.75 | $33.29 | |
Anthem BCBS
| Professional | $19.88 | $25.96 | $36.34 | |
CareSource
| Professional | $15.96 | $18.35 | $23.33 | |
Cigna
| Professional | $47.00 | $62.74 | $100.19 | |
United
| Professional | $20.96 | $28.79 | $58.44 |