| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $87.10 | $114.82 | |
Aetna
| Professional | $60.26 | $70.79 | $93.33 | |
Ambetter
| Professional | $104.71 | $104.71 | $114.82 | |
Anthem BCBS
| Facility | $21.88 | $21.88 | $61.66 | |
Anthem BCBS
| Professional | $21.88 | $33.88 | $70.79 | |
CareSource
| Facility | $64.57 | $69.18 | $75.86 | |
CareSource
| Professional | $64.57 | $64.57 | $64.57 | |
Cigna
| Facility | $79.43 | $83.18 | $93.33 | |
Cigna
| Professional | $74.13 | $89.13 | $117.49 | |
United
| Professional | $69.18 | $83.18 | $120.23 |