| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.72 | $58.43 | $228.07 | |
Aetna
| Professional | $32.72 | $58.43 | $59.98 | |
Anthem BCBS
| Professional | $67.20 | $79.08 | $100.98 | |
CareSource
| Facility | $97.14 | $994.56 | $12,249.87 | |
CareSource
| Professional | $84.99 | $870.24 | $1,774.71 | |
Cigna
| Facility | $71.95 | $71.95 | $71.95 | |
Cigna
| Professional | $300.91 | $300.91 | $300.91 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 | |
United
| Professional | $57.51 | $68.11 | $93.35 |