| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $45.71 | $190.55 | |
Ambetter
| Professional | $21.88 | $26.92 | $34.67 | |
Anthem BCBS
| Professional | $52.48 | $66.07 | $100.00 | |
CareSource
| Professional | $28.18 | $31.62 | $46.77 | |
Cigna
| Professional | $33.11 | $61.66 | $100.00 | |
United
| Professional | $30.20 | $52.48 | $81.28 |