| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $44.51 | $96.15 | |
Aetna
| Professional | $28.50 | $42.08 | $56.24 | |
Ambetter
| Professional | $65.11 | $65.11 | $65.11 | |
BCBS
| Professional | $36.14 | $53.15 | $66.33 | |
CareSource
| Facility | $34.36 | $36.06 | $42.95 | |
Cigna
| Professional | $33.78 | $46.48 | $71.48 | |
Qualchoice
| Professional | $74.88 | $74.88 | $74.88 | |
United
| Professional | $36.83 | $44.63 | $86.43 |