| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.59 | $94.83 | $100.24 | |
Aetna
| Professional | $69.44 | $100.24 | $180.53 | |
Ambetter
| Professional | $88.80 | $113.75 | $166.94 | |
Anthem BCBS
| Professional | $76.05 | $111.50 | $154.12 | |
CareSource
| Facility | $74.13 | $98.84 | $146.15 | |
CareSource
| Professional | $107.70 | $129.24 | $161.55 | |
Cigna
| Facility | $114.80 | $114.80 | $115.68 | |
Cigna
| Professional | $77.00 | $109.59 | $165.08 | |
United
| Professional | $93.92 | $115.54 | $168.83 |