| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.27 | $50.02 | $73.55 | |
Aetna
| Professional | $31.39 | $43.27 | $64.51 | |
Ambetter
| Professional | $56.84 | $56.84 | $56.84 | |
Anthem BCBS
| Professional | $29.12 | $37.93 | $59.93 | |
CareSource
| Facility | $38.65 | $52.18 | $64.79 | |
CareSource
| Professional | $38.65 | $56.84 | $90.94 | |
Cigna
| Facility | $65.48 | $65.48 | $65.48 | |
Cigna
| Professional | $30.03 | $53.79 | $227.65 | |
Molina
| Professional | $26.87 | $32.34 | $70.52 | |
United
| Professional | $35.79 | $46.99 | $68.20 |