| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.37 | $90.18 | $97.99 | |
Aetna
| Professional | $65.27 | $94.24 | $157.22 | |
Ambetter
| Professional | $85.56 | $106.07 | $183.00 | |
Anthem BCBS
| Professional | $76.65 | $118.83 | $164.24 | |
CareSource
| Facility | $74.63 | $95.68 | $142.91 | |
CareSource
| Professional | $104.87 | $125.84 | $157.31 | |
Cigna
| Facility | $110.81 | $110.81 | $114.39 | |
Cigna
| Professional | $76.54 | $109.15 | $164.25 | |
United
| Professional | $93.67 | $113.68 | $155.87 |