| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.63 | $9.63 | $9.63 | |
Aetna
| Professional | $8.02 | $10.60 | $20.00 | |
Ambetter
| Professional | $9.60 | $13.39 | $178.50 | |
Anthem BCBS
| Professional | $5.99 | $19.38 | $30.71 | |
CareSource
| Facility | $7.73 | $10.30 | $13.39 | |
CareSource
| Professional | $10.07 | $11.33 | $13.97 | |
Cigna
| Professional | $9.40 | $15.22 | $78.98 | |
United
| Professional | $7.72 | $10.07 | $17.66 |