| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.44 | $38.38 | $49.89 | |
Aetna
| Professional | $24.19 | $31.60 | $42.71 | |
Ambetter
| Professional | $49.20 | $49.20 | $49.20 | |
BCBS
| Professional | $25.22 | $37.09 | $50.61 | |
CareSource
| Facility | $23.72 | $24.85 | $29.65 | |
Cigna
| Professional | $27.20 | $38.40 | $54.77 | |
Qualchoice
| Professional | $56.58 | $56.58 | $56.58 | |
United
| Professional | $34.54 | $40.88 | $60.74 |