| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.39 | $89.55 | $97.72 | |
Aetna
| Professional | $64.75 | $93.95 | $154.00 | |
Ambetter
| Professional | $89.44 | $120.90 | $147.31 | |
Anthem BCBS
| Professional | $85.12 | $118.45 | $164.24 | |
CareSource
| Facility | $70.31 | $90.14 | $142.97 | |
CareSource
| Professional | $105.22 | $124.88 | $157.83 | |
Cigna
| Facility | $104.52 | $104.52 | $132.13 | |
Cigna
| Professional | $74.40 | $112.07 | $168.42 | |
United
| Professional | $96.06 | $116.06 | $158.57 |