| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.54 | $43.54 | $68.30 | |
Aetna
| Professional | $39.40 | $43.11 | $67.12 | |
Ambetter
| Professional | $55.80 | $55.80 | $55.80 | |
Anthem BCBS
| Professional | $32.00 | $34.85 | $50.30 | |
CareSource
| Facility | $38.99 | $55.41 | $63.92 | |
CareSource
| Professional | $39.58 | $53.43 | $79.16 | |
Cigna
| Facility | $69.27 | $69.27 | $69.27 | |
Cigna
| Professional | $36.39 | $58.36 | $88.79 | |
Molina
| Professional | $26.89 | $32.34 | $37.29 | |
United
| Facility | $42.42 | $42.42 | $42.42 | |
United
| Professional | $40.90 | $53.11 | $90.53 |