| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.56 | $109.42 | $140.74 | |
Aetna
| Professional | $77.56 | $140.13 | $148.18 | |
Anthem BCBS
| Professional | $59.19 | $59.19 | $191.58 | |
CareSource
| Facility | $197.54 | $2,858.05 | $47,249.53 | |
CareSource
| Professional | $196.14 | $2,942.10 | $4,413.14 | |
Cigna
| Facility | $175.97 | $175.97 | $175.97 | |
Cigna
| Professional | $735.92 | $735.92 | $735.92 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $147.53 | $209.55 | $282.76 |