| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.75 | $70.98 | $86.49 | |
Aetna
| Professional | $62.63 | $77.59 | $102.20 | |
Ambetter
| Professional | $62.18 | $78.91 | $87.87 | |
Anthem BCBS
| Professional | $56.55 | $74.36 | $111.17 | |
CareSource
| Facility | $53.39 | $71.18 | $92.53 | |
CareSource
| Professional | $80.47 | $92.54 | $113.46 | |
Cigna
| Professional | $63.00 | $91.00 | $118.84 | |
United
| Professional | $74.67 | $90.19 | $151.49 |