| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $47.86 | $77.62 | |
Aetna
| Professional | $25.12 | $34.67 | $69.18 | |
Ambetter
| Professional | $36.31 | $44.67 | $48.98 | |
Anthem BCBS
| Professional | $18.20 | $23.99 | $35.48 | |
CareSource
| Facility | $23.99 | $31.62 | $44.67 | |
CareSource
| Professional | $34.67 | $43.65 | $57.54 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $28.18 | $43.65 | $223.87 | |
Molina
| Professional | $22.39 | $32.36 | $33.11 | |
United
| Professional | $25.12 | $37.15 | $56.23 |