| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.63 | $105.54 | $137.08 | |
Anthem BCBS
| Professional | $72.76 | $95.85 | $142.80 | |
CareSource
| Professional | $84.06 | $120.39 | $171.98 | |
Cigna
| Professional | $86.79 | $118.58 | $216.53 | |
Molina
| Professional | $32.34 | $32.34 | $144.61 | |
United
| Professional | $103.95 | $134.91 | $216.53 |