| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $47.86 | $70.79 | |
Ambetter
| Professional | $51.29 | $69.18 | $85.11 | |
BCBS
| Professional | $53.70 | $58.88 | $77.62 | |
CareSource
| Facility | $28.18 | $38.02 | $64.57 | |
CareSource
| Professional | $41.69 | $63.10 | $87.10 | |
Cigna
| Professional | $45.71 | $70.79 | $190.55 | |
Qualchoice
| Professional | $58.88 | $81.28 | $97.72 | |
United
| Professional | $38.90 | $57.54 | $81.28 |