| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.27 | $119.17 | $134.22 | |
Aetna
| Professional | $92.16 | $128.40 | $213.17 | |
Ambetter
| Professional | $105.32 | $147.50 | $196.95 | |
Anthem BCBS
| Professional | $104.86 | $148.59 | $217.03 | |
CareSource
| Facility | $102.24 | $131.08 | $187.11 | |
CareSource
| Professional | $137.66 | $165.20 | $206.51 | |
Cigna
| Facility | $152.08 | $152.08 | $165.84 | |
Cigna
| Professional | $105.06 | $150.00 | $220.36 | |
United
| Professional | $124.93 | $151.90 | $206.43 |