| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.11 | $122.42 | $122.42 | |
Aetna
| Professional | $99.11 | $122.42 | $122.42 | |
Ambetter
| Professional | $76.50 | $90.00 | $112.80 | |
Anthem BCBS
| Professional | $0.02 | $0.05 | $0.05 | |
CareSource
| Facility | $327.63 | $339.77 | $424.71 | |
CareSource
| Professional | $254.82 | $393.16 | $491.45 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 |