| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.19 | $85.60 | $93.51 | |
Aetna
| Professional | $59.59 | $91.98 | $154.13 | |
Ambetter
| Professional | $83.60 | $112.45 | $140.66 | |
Anthem BCBS
| Professional | $74.90 | $107.56 | $149.13 | |
CareSource
| Facility | $65.69 | $84.21 | $136.71 | |
CareSource
| Professional | $100.47 | $120.56 | $150.71 | |
Cigna
| Facility | $97.37 | $97.37 | $122.35 | |
Cigna
| Professional | $68.11 | $104.35 | $159.99 | |
United
| Professional | $90.35 | $109.57 | $151.05 |