| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $53.70 | $61.66 | |
Aetna
| Professional | $38.02 | $54.95 | $114.82 | |
Ambetter
| Professional | $31.62 | $47.86 | $61.66 | |
Anthem BCBS
| Professional | $57.54 | $79.43 | $112.20 | |
CareSource
| Facility | $37.15 | $58.88 | $131.83 | |
CareSource
| Professional | $30.90 | $45.71 | $58.88 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $44.67 | $104.71 | $389.05 | |
Molina
| Professional | $32.36 | $33.11 | $64.57 | |
United
| Professional | $42.66 | $81.28 | $134.90 |