| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.99 | $95.90 | $95.90 | |
Aetna
| Professional | $89.34 | $98.74 | $118.07 | |
Ambetter
| Professional | $104.48 | $136.91 | $199.38 | |
Anthem BCBS
| Facility | $96.87 | $96.87 | $186.96 | |
Anthem BCBS
| Professional | $72.77 | $96.87 | $134.97 | |
CareSource
| Facility | $86.60 | $116.44 | $135.84 | |
CareSource
| Professional | $98.52 | $104.68 | $140.08 | |
Cigna
| Professional | $102.50 | $126.37 | $184.35 | |
United
| Professional | $88.06 | $111.87 | $182.90 |