| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.32 | $46.32 | $54.08 | |
Aetna
| Professional | $18.48 | $34.32 | $46.32 | |
Ambetter
| Professional | $37.86 | $40.56 | $54.08 | |
Anthem BCBS
| Facility | $42.72 | $48.40 | $54.08 | |
Anthem BCBS
| Professional | $26.40 | $34.94 | $47.16 | |
CareSource
| Facility | $45.97 | $62.19 | $81.12 | |
CareSource
| Professional | $54.08 | $64.90 | $75.70 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $36.21 | $55.48 | |
United
| Professional | $16.18 | $26.98 | $41.58 |