| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.33 | $200.84 | $296.10 | |
Anthem BCBS
| Professional | $94.43 | $114.43 | $174.88 | |
CareSource
| Professional | $132.55 | $178.22 | $338.59 | |
Cigna
| Professional | $119.56 | $216.87 | $426.61 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $199.52 | $276.11 | $460.94 |