| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.51 | $35.86 | $51.38 | |
Aetna
| Professional | $25.08 | $34.28 | $52.32 | |
Ambetter
| Professional | $43.55 | $47.64 | $54.97 | |
Anthem BCBS
| Professional | $18.34 | $24.06 | $38.47 | |
CareSource
| Facility | $23.83 | $31.77 | $44.48 | |
CareSource
| Professional | $34.60 | $43.65 | $60.35 | |
Cigna
| Facility | $45.75 | $45.75 | $45.75 | |
Cigna
| Professional | $26.28 | $38.74 | $72.27 | |
Molina
| Professional | $22.45 | $32.34 | $45.93 | |
United
| Professional | $32.19 | $41.16 | $60.18 |