| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $30.57 | $50.05 | |
Aetna
| Professional | $26.72 | $30.57 | $46.66 | |
Ambetter
| Professional | $57.33 | $57.33 | $57.33 | |
Anthem BCBS
| Facility | $39.54 | $44.79 | $50.05 | |
Anthem BCBS
| Professional | $44.48 | $55.61 | $74.91 | |
CareSource
| Facility | $42.54 | $58.96 | $75.08 | |
CareSource
| Professional | $42.54 | $55.06 | $67.56 | |
Cigna
| Facility | $50.05 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $52.17 | $69.73 | |
United
| Professional | $27.91 | $45.73 | $65.68 |