| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $104.71 | $162.18 | |
Anthem BCBS
| Professional | $74.13 | $89.13 | $141.25 | |
CareSource
| Professional | $85.11 | $120.23 | $141.25 | |
Cigna
| Professional | $87.10 | $131.83 | $676.08 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $87.10 | $114.82 | $190.55 |