| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.57 | $24.78 | $177.59 | |
Aetna
| Professional | $17.57 | $24.78 | $147.01 | |
Anthem BCBS
| Professional | $116.34 | $149.08 | $190.09 | |
CareSource
| Facility | $46.46 | $613.63 | $45,499.55 | |
CareSource
| Professional | $42.11 | $630.28 | $947.52 | |
Cigna
| Facility | $38.40 | $96.58 | $163.03 | |
Cigna
| Professional | $160.60 | $160.60 | $160.60 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $139.88 | $165.61 | $226.97 |