| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.39 | $32.17 | $65.08 | |
Ambetter
| Professional | $17.77 | $19.37 | $42.88 | |
BCBS
| Professional | $27.17 | $31.37 | $37.35 | |
CareSource
| Professional | $17.75 | $21.30 | $23.10 | |
Cigna
| Professional | $25.21 | $41.36 | $85.90 | |
Health Alliance Plan
| Professional | $21.32 | $28.73 | $51.95 | |
Molina
| Professional | $26.52 | $33.44 | $47.72 | |
United
| Professional | $24.68 | $30.95 | $43.26 |