| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.02 | $23.06 | $30.75 | |
Aetna
| Professional | $21.21 | $32.13 | $48.25 | |
Ambetter
| Professional | $42.97 | $46.24 | $60.00 | |
Anthem BCBS
| Professional | $26.18 | $38.22 | $51.50 | |
CareSource
| Facility | $29.86 | $39.81 | $51.75 | |
CareSource
| Professional | $47.26 | $55.61 | $70.39 | |
Cigna
| Professional | $32.88 | $50.10 | $73.06 | |
United
| Professional | $39.13 | $48.34 | $69.95 |