| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.19 | $21.63 | $30.39 | |
Ambetter
| Professional | $34.32 | $34.32 | $34.32 | |
Anthem BCBS
| Professional | $13.25 | $13.25 | $25.40 | |
CareSource
| Facility | $22.88 | $27.46 | $32.03 | |
CareSource
| Professional | $22.88 | $27.20 | $34.32 | |
Cigna
| Facility | $24.64 | $24.64 | $24.64 | |
Cigna
| Professional | $22.32 | $22.32 | $35.72 | |
United
| Professional | $15.81 | $26.35 | $44.80 |