| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.04 | $176.57 | $633.84 | |
Aetna
| Professional | $56.88 | $80.09 | $95.76 | |
Ambetter
| Professional | $30.90 | $30.90 | $57.22 | |
Anthem BCBS
| Facility | $90.40 | $102.41 | $343.29 | |
Anthem BCBS
| Professional | $31.98 | $39.97 | $78.72 | |
CareSource
| Facility | $105.58 | $120.15 | $154.47 | |
CareSource
| Professional | $74.38 | $114.43 | $154.47 | |
Cigna
| Facility | $74.38 | $114.43 | $266.63 | |
Cigna
| Professional | $56.47 | $119.63 | $149.53 | |
United
| Professional | $41.19 | $48.06 | $102.99 |