| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $28.84 | $75.86 | |
Aetna
| Professional | $20.89 | $34.67 | $54.95 | |
Ambetter
| Professional | $40.74 | $48.98 | $60.26 | |
Ambetter
| Professional | 25 | $36.31 | $36.31 | $36.31 |
Anthem BCBS
| Professional | $26.30 | $38.02 | $60.26 | |
CareSource
| Facility | $30.90 | $40.74 | $53.70 | |
CareSource
| Professional | $48.98 | $57.54 | $70.79 | |
Cigna
| Facility | $27.54 | $40.74 | $60.26 | |
Cigna
| Professional | $32.36 | $51.29 | $77.62 | |
United
| Professional | $30.20 | $44.67 | $64.57 |