| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.61 | $102.76 | $111.25 | |
Aetna
| Professional | $76.01 | $111.25 | $183.38 | |
Ambetter
| Professional | $56.40 | $122.18 | $196.00 | |
Anthem BCBS
| Professional | $94.40 | $124.89 | $176.75 | |
CareSource
| Facility | $84.35 | $108.14 | $162.03 | |
CareSource
| Professional | $119.32 | $142.12 | $178.98 | |
Cigna
| Facility | $125.60 | $125.60 | $140.83 | |
Cigna
| Professional | $87.35 | $124.60 | $191.00 | |
United
| Professional | $107.55 | $128.82 | $184.45 |