| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $67.61 | $104.71 | |
Aetna
| Professional | $39.81 | $51.29 | $67.61 | |
Ambetter
| Professional | $60.26 | $66.07 | $120.23 | |
Anthem BCBS
| Professional | $28.84 | $38.90 | $52.48 | |
CareSource
| Facility | $38.90 | $52.48 | $72.44 | |
CareSource
| Professional | $38.90 | $54.95 | $75.86 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $46.77 | $70.79 | $295.12 | |
Molina
| Professional | $32.36 | $33.11 | $38.02 | |
United
| Professional | $45.71 | $63.10 | $93.33 |