| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $39.20 | $445.71 | |
Aetna
| Professional | $34.83 | $37.77 | $40.15 | |
Anthem BCBS
| Facility | $29.76 | $47.81 | $53.28 | |
Anthem BCBS
| Professional | $23.61 | $23.61 | $75.37 | |
CareSource
| Facility | $47.81 | $57.37 | $76.50 | |
CareSource
| Professional | $51.16 | $59.76 | $95.62 | |
Cigna
| Facility | $31.08 | $36.49 | $76.98 | |
Cigna
| Professional | $24.27 | $54.93 | $264.41 | |
Molina
| Professional | $26.30 | $26.30 | $26.30 | |
United
| Professional | $20.07 | $28.69 | $54.18 |