| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.01 | $101.91 | $129.13 | |
Aetna
| Professional | $95.28 | $118.97 | $147.51 | |
Ambetter
| Professional | $120.83 | $127.64 | $182.10 | |
Anthem BCBS
| Professional | $85.17 | $111.86 | $167.47 | |
CareSource
| Facility | $92.54 | $114.40 | $157.02 | |
CareSource
| Professional | $121.40 | $140.13 | $163.89 | |
Cigna
| Professional | $99.91 | $140.31 | $209.64 | |
United
| Professional | $112.31 | $133.62 | $223.99 |