| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.20 | $97.48 | $114.68 | |
Aetna
| Professional | $86.01 | $105.34 | $131.09 | |
Ambetter
| Professional | $76.83 | $101.59 | $141.10 | |
Anthem BCBS
| Professional | $74.23 | $104.43 | $145.76 | |
CareSource
| Facility | $76.83 | $102.44 | $133.16 | |
CareSource
| Professional | $105.54 | $124.17 | $159.77 | |
Cigna
| Professional | $86.00 | $119.00 | $161.54 | |
United
| Professional | $97.79 | $125.60 | $202.94 |