| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.95 | $193.47 | $238.68 | |
Anthem BCBS
| Professional | $104.46 | $122.90 | $174.12 | |
CareSource
| Professional | $145.00 | $194.96 | $425.87 | |
Cigna
| Professional | $135.49 | $223.88 | $424.72 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $189.52 | $251.22 | $440.19 |