| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.51 | $49.43 | $77.88 | |
Aetna
| Professional | $45.88 | $49.45 | $75.31 | |
Ambetter
| Professional | $56.06 | $63.06 | $63.98 | |
Anthem BCBS
| Professional | $33.57 | $40.02 | $56.57 | |
CareSource
| Facility | $44.17 | $60.99 | $71.76 | |
CareSource
| Professional | $40.79 | $62.79 | $89.70 | |
Cigna
| Facility | $78.48 | $78.48 | $78.48 | |
Cigna
| Professional | $41.15 | $66.94 | $101.94 | |
Molina
| Professional | $30.88 | $32.34 | $42.82 | |
United
| Professional | $47.12 | $60.16 | $102.54 |