| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $38.02 | $38.02 | |
Aetna
| Professional | $25.12 | $35.48 | $77.62 | |
Ambetter
| Professional | $37.15 | $45.71 | $52.48 | |
Ambetter
| Professional | 25 | $44.67 | $44.67 | $44.67 |
BCBS
| Professional | $34.67 | $50.12 | $50.12 | |
CareSource
| Facility | $23.99 | $25.12 | $25.70 | |
Cigna
| Professional | $27.54 | $39.81 | $60.26 | |
Qualchoice
| Professional | $47.86 | $54.95 | $67.61 | |
United
| Professional | $26.30 | $36.31 | $50.12 |