| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.19 | $89.58 | $94.83 | |
Aetna
| Professional | $59.59 | $89.57 | $140.22 | |
Ambetter
| Professional | $66.00 | $97.92 | $124.80 | |
Anthem BCBS
| Professional | $68.98 | $104.07 | $143.85 | |
CareSource
| Facility | $63.16 | $84.21 | $130.60 | |
CareSource
| Professional | $96.00 | $110.40 | $144.00 | |
Cigna
| Facility | $97.37 | $97.37 | $103.30 | |
Cigna
| Professional | $68.11 | $96.87 | $147.51 | |
United
| Professional | $85.16 | $102.43 | $141.69 |