| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.37 | $93.26 | $101.65 | |
Aetna
| Professional | $65.06 | $99.01 | $160.72 | |
Ambetter
| Professional | $80.00 | $120.90 | $151.41 | |
Anthem BCBS
| Professional | $83.62 | $118.45 | $165.17 | |
CareSource
| Facility | $74.63 | $95.68 | $148.62 | |
CareSource
| Professional | $109.35 | $131.22 | $164.03 | |
Cigna
| Facility | $110.81 | $110.81 | $129.54 | |
Cigna
| Professional | $77.62 | $114.81 | $174.68 | |
United
| Professional | $98.74 | $118.73 | $183.60 |