| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.75 | $74.34 | $94.51 | |
Aetna
| Professional | $63.19 | $81.58 | $108.68 | |
Ambetter
| Professional | $66.45 | $101.89 | $135.86 | |
Anthem BCBS
| Professional | $55.91 | $81.53 | $112.32 | |
CareSource
| Facility | $53.61 | $71.48 | $92.92 | |
CareSource
| Professional | $89.83 | $99.63 | $126.66 | |
Cigna
| Professional | $72.00 | $102.00 | $131.57 | |
United
| Professional | $83.45 | $103.38 | $164.64 |