| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.36 | $92.03 | $135.68 | |
Aetna
| Professional | $62.33 | $82.36 | $123.82 | |
Ambetter
| Professional | $104.58 | $104.58 | $104.58 | |
Anthem BCBS
| Professional | $58.25 | $75.56 | $117.74 | |
CareSource
| Facility | $71.11 | $96.00 | $119.22 | |
CareSource
| Professional | $71.11 | $104.58 | $167.32 | |
Cigna
| Facility | $120.47 | $120.47 | $120.47 | |
Cigna
| Professional | $59.83 | $100.05 | $419.39 | |
Molina
| Professional | $32.34 | $32.34 | $131.65 | |
United
| Professional | $70.34 | $88.06 | $138.26 |