| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.00 | $19.00 | $19.00 | |
Aetna
| Professional | $16.13 | $19.00 | $28.21 | |
Ambetter
| Professional | $24.76 | $32.89 | $32.89 | |
Anthem BCBS
| Professional | $16.80 | $21.00 | $28.29 | |
CareSource
| Facility | $18.57 | $18.57 | $42.65 | |
CareSource
| Professional | $18.57 | $46.54 | $55.40 | |
Cigna
| Professional | $21.63 | $27.72 | $66.48 | |
United
| Professional | $41.31 | $51.20 | $83.09 |