| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.09 | $93.96 | $146.50 | |
Aetna
| Professional | $57.78 | $68.90 | $123.50 | |
Anthem BCBS
| Facility | $74.56 | $82.85 | $122.74 | |
Anthem BCBS
| Professional | $44.79 | $61.37 | $76.63 | |
CareSource
| Facility | $94.40 | $108.56 | $134.74 | |
CareSource
| Professional | $94.40 | $110.48 | $136.88 | |
Cigna
| Facility | $45.00 | $75.00 | $115.69 | |
Cigna
| Professional | $57.06 | $93.49 | $141.47 | |
Molina
| Professional | $32.34 | $32.34 | $61.65 | |
United
| Professional | $62.40 | $78.67 | $105.62 |