| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $77.62 | $95.50 | |
Ambetter
| Professional | $151.36 | $151.36 | $151.36 | |
Anthem BCBS
| Professional | $85.11 | $100.00 | $117.49 | |
CareSource
| Facility | $95.50 | $95.50 | $100.00 | |
CareSource
| Professional | $97.72 | $117.49 | $138.04 | |
Cigna
| Facility | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $79.43 | $95.50 | $549.54 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $79.43 | $100.00 | $151.36 |