| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $199.53 | $323.59 | |
Anthem BCBS
| Professional | $100.00 | $154.88 | $218.78 | |
CareSource
| Professional | $104.71 | $134.90 | $169.82 | |
Cigna
| Professional | $123.03 | $229.09 | $1,071.52 | |
Molina
| Professional | $32.36 | $33.11 | $229.09 | |
United
| Professional | $112.20 | $194.98 | $316.23 |