| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $47.86 | $77.62 | |
Aetna
| Professional | $40.74 | $70.79 | $107.15 | |
Anthem BCBS
| Professional | $29.51 | $44.67 | $66.07 | |
CareSource
| Facility | $37.15 | $44.67 | $63.10 | |
CareSource
| Professional | $39.81 | $48.98 | $64.57 | |
Cigna
| Facility | $69.18 | $69.18 | $69.18 | |
Cigna
| Professional | $44.67 | $93.33 | $371.54 | |
Molina
| Professional | $32.36 | $33.11 | $46.77 | |
United
| Professional | $41.69 | $74.13 | $134.90 |