| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $89.13 | $120.23 | |
Aetna
| Professional | $57.54 | $69.18 | $95.50 | |
Ambetter
| Professional | $63.10 | $77.62 | $87.10 | |
Anthem BCBS
| Facility | $63.10 | $79.43 | $154.88 | |
Anthem BCBS
| Professional | $63.10 | $81.28 | $123.03 | |
CareSource
| Facility | $64.57 | $69.18 | $77.62 | |
CareSource
| Professional | $64.57 | $64.57 | $64.57 | |
Cigna
| Facility | $70.79 | $83.18 | $104.71 | |
Cigna
| Professional | $75.86 | $89.13 | $120.23 | |
United
| Professional | $67.61 | $85.11 | $120.23 |