| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $37.15 | $52.48 | |
Aetna
| Professional | $21.88 | $34.67 | $52.48 | |
Ambetter
| Professional | $41.69 | $52.48 | $66.07 | |
BCBS
| Facility | $28.18 | $28.18 | $38.90 | |
BCBS
| Professional | $39.81 | $54.95 | $72.44 | |
CareSource
| Facility | $30.20 | $40.74 | $69.18 | |
CareSource
| Professional | $40.74 | $60.26 | $83.18 | |
Cigna
| Professional | $34.67 | $52.48 | $109.65 | |
Qualchoice
| Professional | $56.23 | $60.26 | $75.86 | |
United
| Facility | $77.62 | $77.62 | $77.62 | |
United
| Professional | $30.20 | $44.67 | $61.66 |