| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.34 | $134.78 | $146.43 | |
Anthem BCBS
| Professional | $108.48 | $142.94 | $192.33 | |
CareSource
| Professional | $117.83 | $151.88 | $241.02 | |
Cigna
| Professional | $128.52 | $183.92 | $278.26 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $134.38 | $191.49 | $288.00 |