| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $169.82 | $245.47 | |
Anthem BCBS
| Professional | $141.25 | $165.96 | $263.03 | |
CareSource
| Professional | $114.82 | $151.36 | $204.17 | |
Cigna
| Professional | $138.04 | $239.88 | $691.83 | |
Molina
| Professional | $32.36 | $33.11 | $162.18 | |
United
| Professional | $138.04 | $173.78 | $257.04 |