| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.84 | $84.15 | $92.26 | |
Aetna
| Professional | $52.61 | $81.93 | $147.26 | |
Ambetter
| Professional | $59.60 | $95.57 | $126.21 | |
Anthem BCBS
| Professional | $61.82 | $96.17 | $132.93 | |
CareSource
| Facility | $57.68 | $76.90 | $123.00 | |
CareSource
| Professional | $90.15 | $104.98 | $135.22 | |
Cigna
| Facility | $88.85 | $88.85 | $93.31 | |
Cigna
| Professional | $58.32 | $88.68 | $136.19 | |
United
| Professional | $76.77 | $96.40 | $135.83 |