| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.04 | $31.04 | $36.24 | |
Aetna
| Professional | $11.66 | $21.74 | $31.04 | |
Ambetter
| Professional | $25.37 | $30.00 | $30.00 | |
Anthem BCBS
| Facility | $28.63 | $32.43 | $36.24 | |
Anthem BCBS
| Professional | $16.95 | $24.17 | $32.61 | |
CareSource
| Facility | $27.18 | $39.86 | $54.36 | |
CareSource
| Professional | $30.80 | $39.86 | $48.92 | |
Cigna
| Facility | $24.26 | $24.26 | $24.26 | |
Cigna
| Professional | $17.71 | $24.26 | $37.17 | |
United
| Professional | $10.85 | $18.07 | $27.24 |