| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.28 | $124.53 | $212.47 | |
Anthem BCBS
| Professional | $86.37 | $136.30 | $242.87 | |
CareSource
| Professional | $92.12 | $120.89 | $226.02 | |
Cigna
| Professional | $100.72 | $174.54 | $303.08 | |
Molina
| Professional | $32.34 | $32.34 | $169.41 | |
United
| Professional | $137.79 | $196.99 | $318.06 |