| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.32 | $46.32 | $54.08 | |
Aetna
| Professional | $27.79 | $34.33 | $46.32 | |
Ambetter
| Professional | $37.86 | $40.56 | $54.08 | |
Anthem BCBS
| Facility | $42.72 | $48.40 | $54.08 | |
Anthem BCBS
| Professional | $26.47 | $26.47 | $40.10 | |
CareSource
| Facility | $40.56 | $59.49 | $81.12 | |
CareSource
| Professional | $45.97 | $59.49 | $73.01 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $35.59 | $55.48 | |
United
| Professional | $16.18 | $26.79 | $39.20 |