| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.47 | $51.17 | $58.30 | |
Aetna
| Professional | $34.34 | $45.90 | $58.30 | |
Anthem BCBS
| Professional | $23.98 | $33.03 | $48.76 | |
CareSource
| Facility | $31.99 | $37.46 | $52.24 | |
CareSource
| Professional | $32.65 | $41.79 | $53.87 | |
Cigna
| Facility | $57.14 | $57.14 | $57.14 | |
Cigna
| Professional | $37.43 | $58.46 | $100.49 | |
Molina
| Professional | $32.34 | $32.34 | $60.89 | |
United
| Professional | $46.45 | $60.74 | $89.89 |