| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.51 | $79.75 | $110.81 | |
Aetna
| Professional | $66.31 | $85.02 | $121.98 | |
Ambetter
| Professional | $106.51 | $119.29 | $120.92 | |
Anthem BCBS
| Facility | $85.73 | $85.73 | $85.73 | |
Anthem BCBS
| Professional | $64.75 | $81.03 | $127.92 | |
CareSource
| Facility | $55.82 | $74.43 | $104.20 | |
CareSource
| Professional | $68.38 | $93.04 | $121.70 | |
Cigna
| Facility | $130.25 | $130.25 | $130.25 | |
Cigna
| Professional | $67.00 | $98.00 | $172.80 | |
Molina
| Professional | $32.34 | $50.10 | $68.70 | |
United
| Professional | $82.68 | $106.93 | $191.65 |