| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.15 | $31.46 | $34.69 | |
Aetna
| Professional | $22.91 | $29.75 | $40.52 | |
Anthem BCBS
| Professional | $16.32 | $22.06 | $32.53 | |
CareSource
| Facility | $22.17 | $30.14 | $35.47 | |
CareSource
| Professional | $21.67 | $31.04 | $41.36 | |
Cigna
| Facility | $38.79 | $38.79 | $38.79 | |
Cigna
| Professional | $22.81 | $35.79 | $73.38 | |
Molina
| Professional | $19.09 | $32.34 | $32.34 | |
United
| Professional | $27.56 | $36.06 | $64.12 |