| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $64.57 | $64.57 | |
Aetna
| Professional | $45.71 | $87.10 | $147.91 | |
Anthem BCBS
| Professional | $44.67 | $52.48 | $63.10 | |
CareSource
| Facility | $70.79 | $1,174.90 | $48,977.88 | |
CareSource
| Professional | $79.43 | $1,023.29 | $1,778.28 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $41.69 | $70.79 | $281.84 |