| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.87 | $32.54 | $40.13 | |
Aetna
| Professional | $20.18 | $27.36 | $47.11 | |
Ambetter
| Professional | $32.86 | $37.25 | $39.58 | |
CareSource
| Facility | $31.12 | $33.42 | $72.77 | |
CareSource
| Professional | $24.42 | $26.64 | $31.34 | |
Cigna
| Professional | $22.74 | $37.08 | $55.08 | |
Qualchoice
| Professional | $33.97 | $42.69 | $56.63 | |
United
| Professional | $22.08 | $31.18 | $50.97 |