| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $38.90 | $81.28 | |
Aetna
| Professional | $28.84 | $47.86 | $79.43 | |
Ambetter
| Professional | $45.71 | $53.70 | $97.72 | |
Anthem BCBS
| Professional | $34.67 | $61.66 | $83.18 | |
CareSource
| Facility | $28.84 | $38.90 | $50.12 | |
CareSource
| Professional | $51.29 | $58.88 | $74.13 | |
Cigna
| Professional | $39.81 | $57.54 | $83.18 | |
United
| Professional | $39.81 | $58.88 | $87.10 |