| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $14.13 | $85.11 | |
Aetna
| Professional | $8.91 | $14.13 | $16.98 | |
Anthem BCBS
| Professional | $104.71 | $125.89 | $147.91 | |
CareSource
| Facility | $19.50 | $281.84 | $45,708.82 | |
CareSource
| Professional | $15.85 | $251.19 | $436.52 | |
Cigna
| Facility | $24.55 | $24.55 | $24.55 | |
Cigna
| Professional | $13.18 | $72.44 | $72.44 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $14.13 | $16.98 | $25.12 |