| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.64 | $49.29 | $74.06 | |
Aetna
| Professional | $39.64 | $49.14 | $64.27 | |
Ambetter
| Professional | $59.39 | $59.39 | $72.79 | |
Anthem BCBS
| Professional | $27.06 | $40.42 | $53.26 | |
CareSource
| Facility | $38.89 | $52.50 | $65.19 | |
CareSource
| Professional | $38.89 | $57.19 | $81.52 | |
Cigna
| Facility | $65.88 | $65.88 | $65.88 | |
Cigna
| Professional | $44.46 | $62.73 | $123.14 | |
Molina
| Professional | $32.34 | $32.34 | $67.78 | |
United
| Professional | $53.67 | $69.34 | $100.82 |