| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.20 | $175.70 | $369.74 | |
Ambetter
| Professional | $105.34 | $150.69 | $155.81 | |
Anthem BCBS
| Professional | $129.66 | $152.55 | $242.55 | |
CareSource
| Professional | $103.87 | $135.03 | $166.19 | |
Cigna
| Professional | $118.38 | $190.08 | $285.60 | |
Molina
| Professional | $32.34 | $32.34 | $135.03 | |
United
| Professional | $112.84 | $150.46 | $223.73 |