| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $45.71 | $89.13 | |
Ambetter
| Professional | $23.99 | $32.36 | $64.57 | |
Anthem BCBS
| Professional | $45.71 | $53.70 | $63.10 | |
CareSource
| Professional | $26.92 | $32.36 | $44.67 | |
Cigna
| Professional | $77.62 | $199.53 | $199.53 | |
United
| Professional | $32.36 | $58.88 | $83.18 |