| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.69 | $224.16 | $988.51 | |
Anthem BCBS
| Professional | $172.49 | $224.97 | $725.04 | |
CareSource
| Facility | $72.79 | $105.67 | $197.89 | |
CareSource
| Professional | $68.65 | $93.34 | $197.89 | |
Cigna
| Professional | $583.84 | $583.84 | $795.70 | |
Molina
| Professional | $32.34 | $32.34 | $353.96 | |
United
| Professional | $152.35 | $238.89 | $518.10 |