| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $61.66 | $75.86 | |
Aetna
| Professional | $54.95 | $72.44 | $100.00 | |
Ambetter
| Professional | $123.03 | $123.03 | $123.03 | |
Anthem BCBS
| Professional | $48.98 | $75.86 | $114.82 | |
CareSource
| Facility | $58.88 | $63.10 | $77.62 | |
CareSource
| Professional | $58.88 | $58.88 | $58.88 | |
Cigna
| Facility | $75.86 | $97.72 | $134.90 | |
Cigna
| Professional | $54.95 | $83.18 | $107.15 | |
United
| Professional | $69.18 | $87.10 | $131.83 |