| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.27 | $17.57 | $18.70 | |
Aetna
| Professional | $17.27 | $19.53 | $59.39 | |
Ambetter
| Professional | $21.45 | $21.45 | $21.45 | |
Anthem BCBS
| Facility | $20.47 | $20.47 | $39.51 | |
Anthem BCBS
| Professional | $17.39 | $29.06 | $60.32 | |
CareSource
| Facility | $16.86 | $20.23 | $23.60 | |
CareSource
| Professional | $17.16 | $19.73 | $24.62 | |
Cigna
| Professional | $19.62 | $27.31 | $80.42 | |
United
| Professional | $17.87 | $39.11 | $72.36 |