| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.08 | $40.47 | $53.96 | |
Aetna
| Professional | $28.67 | $37.11 | $48.90 | |
Ambetter
| Professional | $71.63 | $71.63 | $71.63 | |
Anthem BCBS
| Facility | $9.34 | $9.34 | $32.84 | |
Anthem BCBS
| Professional | $9.34 | $22.15 | $36.20 | |
CareSource
| Facility | $27.09 | $32.02 | $36.95 | |
CareSource
| Professional | $30.80 | $46.56 | $55.60 | |
Cigna
| Professional | $35.77 | $47.97 | $68.30 | |
United
| Professional | $40.70 | $50.62 | $69.80 |