| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $117.49 | $239.88 | |
Ambetter
| Professional | $79.43 | $87.10 | $131.83 | |
Anthem BCBS
| Professional | $97.72 | $190.55 | $288.40 | |
CareSource
| Professional | $87.10 | $104.71 | $131.83 | |
Cigna
| Professional | $93.33 | $131.83 | $223.87 | |
United
| Professional | $87.10 | $112.20 | $162.18 |