| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.30 | $18.61 | $29.11 | |
Aetna
| Professional | $17.57 | $23.68 | $68.81 | |
Ambetter
| Professional | $17.30 | $25.92 | $53.88 | |
Anthem BCBS
| Professional | $19.12 | $28.60 | $60.32 | |
CareSource
| Facility | $16.78 | $23.84 | $27.51 | |
CareSource
| Professional | $18.54 | $23.84 | $34.06 | |
Cigna
| Facility | $25.17 | $29.80 | $29.80 | |
Cigna
| Professional | $17.82 | $36.31 | $97.22 | |
Molina
| Professional | $13.69 | $32.34 | $32.34 | |
United
| Professional | $18.55 | $38.70 | $66.73 |