| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.60 | $29.07 | $37.40 | |
Aetna
| Professional | $20.60 | $37.26 | $39.57 | |
Anthem BCBS
| Professional | $59.19 | $59.19 | $191.58 | |
CareSource
| Facility | $52.72 | $762.75 | $47,249.53 | |
CareSource
| Professional | $52.35 | $785.19 | $1,177.79 | |
Cigna
| Facility | $46.97 | $46.97 | $46.97 | |
Cigna
| Professional | $196.46 | $196.46 | $196.46 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $38.47 | $54.95 | $75.15 |