| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.21 | $51.82 | $59.18 | |
Aetna
| Professional | $47.55 | $52.21 | $77.55 | |
Anthem BCBS
| Professional | $35.49 | $42.27 | $60.13 | |
CareSource
| Facility | $45.54 | $64.70 | $74.65 | |
CareSource
| Professional | $45.74 | $64.70 | $92.44 | |
Cigna
| Facility | $80.89 | $80.89 | $80.89 | |
Cigna
| Professional | $43.41 | $70.84 | $107.70 | |
Molina
| Professional | $32.34 | $32.62 | $45.24 | |
United
| Professional | $49.03 | $64.31 | $108.28 |