| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.61 | $50.63 | $74.56 | |
Aetna
| Professional | $30.77 | $43.54 | $68.56 | |
Ambetter
| Professional | $51.93 | $63.10 | $85.65 | |
Anthem BCBS
| Professional | $23.84 | $34.06 | $51.17 | |
CareSource
| Facility | $34.52 | $45.57 | $64.44 | |
CareSource
| Professional | $45.82 | $57.81 | $79.94 | |
Cigna
| Facility | $66.28 | $66.28 | $66.28 | |
Cigna
| Professional | $31.52 | $47.01 | $80.31 | |
Molina
| Professional | $26.00 | $32.34 | $60.49 | |
United
| Professional | $35.04 | $43.99 | $65.20 |