| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $61.66 | |
Aetna
| Professional | $25.70 | $36.31 | $61.66 | |
Ambetter
| Professional | $35.48 | $35.48 | $35.48 | |
Anthem BCBS
| Professional | $41.69 | $52.48 | $83.18 | |
CareSource
| Facility | $40.74 | $40.74 | $46.77 | |
Cigna
| Professional | $46.77 | $54.95 | $74.13 | |
United
| Professional | $44.67 | $54.95 | $77.62 |