| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.78 | $37.33 | $57.28 | |
Aetna
| Professional | $33.19 | $46.27 | $67.98 | |
Anthem BCBS
| Professional | $27.13 | $38.08 | $65.84 | |
CareSource
| Facility | $32.59 | $46.16 | $54.30 | |
CareSource
| Professional | $30.87 | $47.86 | $75.31 | |
Cigna
| Facility | $59.40 | $59.40 | $59.40 | |
Cigna
| Professional | $34.60 | $56.87 | $98.01 | |
Molina
| Professional | $20.36 | $32.34 | $36.09 | |
United
| Professional | $40.40 | $56.22 | $109.76 |