| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.00 | $14.00 | $14.00 | |
Aetna
| Professional | $11.01 | $14.00 | $15.72 | |
Ambetter
| Professional | $3.13 | $3.13 | $3.13 | |
Anthem BCBS
| Professional | $4.50 | $7.50 | $10.71 | |
CareSource
| Facility | $3.93 | $3.93 | $8.57 | |
CareSource
| Professional | $3.93 | $4.75 | $8.57 | |
Cigna
| Professional | $6.17 | $10.00 | $17.00 | |
United
| Professional | $3.94 | $4.96 | $8.42 |