| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.98 | $97.36 | $106.56 | |
Aetna
| Professional | $73.26 | $106.56 | $184.32 | |
Ambetter
| Professional | $76.37 | $116.19 | $175.19 | |
Anthem BCBS
| Professional | $83.38 | $120.22 | $176.75 | |
CareSource
| Facility | $83.72 | $107.34 | $155.44 | |
CareSource
| Professional | $114.50 | $133.34 | $171.75 | |
Cigna
| Facility | $124.66 | $124.66 | $127.84 | |
Cigna
| Professional | $85.87 | $118.99 | $173.86 | |
United
| Professional | $101.37 | $123.42 | $175.39 |