| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $18.55 | $30.12 | |
Aetna
| Professional | CQ | $17.46 | $17.46 | $17.46 |
Anthem BCBS
| Professional | $13.18 | $17.00 | $32.27 | |
CareSource
| Professional | $27.50 | $32.40 | $39.88 | |
Cigna
| Professional | $18.02 | $33.79 | $113.94 | |
Molina
| Professional | $10.49 | $32.34 | $32.34 | |
United
| Professional | $18.94 | $24.86 | $29.95 |