| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.38 | $101.84 | $123.54 | |
Aetna
| Professional | $86.57 | $109.92 | $143.68 | |
Ambetter
| Professional | $87.12 | $135.52 | $180.69 | |
Anthem BCBS
| Professional | $72.95 | $106.41 | $146.91 | |
CareSource
| Facility | $74.91 | $99.88 | $129.84 | |
CareSource
| Professional | $112.63 | $138.10 | $169.33 | |
Cigna
| Professional | $94.00 | $134.00 | $173.00 | |
United
| Professional | $109.40 | $135.22 | $223.37 |