| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.25 | $97.98 | $98.23 | |
Aetna
| Professional | $88.93 | $96.11 | $103.43 | |
Anthem BCBS
| Professional | $57.12 | $76.17 | $134.16 | |
CareSource
| Facility | $83.72 | $110.07 | $133.94 | |
CareSource
| Professional | $81.22 | $111.63 | $142.88 | |
Cigna
| Facility | $60.58 | $75.00 | $109.60 | |
Cigna
| Professional | $71.68 | $99.48 | $188.48 | |
Molina
| Professional | $32.34 | $49.72 | $72.45 | |
United
| Facility | $105.14 | $105.14 | $105.14 | |
United
| Professional | $64.03 | $103.16 | $185.59 |