| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.38 | $77.12 | $84.14 | |
Aetna
| Professional | $40.28 | $67.61 | $103.97 | |
Anthem BCBS
| Professional | $29.41 | $49.52 | $77.95 | |
CareSource
| Facility | $39.36 | $53.54 | $62.99 | |
CareSource
| Professional | $42.67 | $55.12 | $93.22 | |
Cigna
| Facility | $68.90 | $68.90 | $68.90 | |
Cigna
| Professional | $40.53 | $82.61 | $156.30 | |
Molina
| Professional | $32.34 | $32.34 | $61.76 | |
United
| Professional | $66.19 | $90.63 | $155.91 |