| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.45 | $43.36 | $3,740.00 | |
Aetna
| Professional | $13.57 | $26.26 | $44.96 | |
Anthem BCBS
| Professional | $10.47 | $24.95 | $50.53 | |
CareSource
| Facility | $22.47 | $30.33 | $34.61 | |
CareSource
| Professional | $28.09 | $44.07 | $64.09 | |
Cigna
| Facility | $39.32 | $39.32 | $39.32 | |
Cigna
| Professional | $11.46 | $41.65 | $95.35 | |
Molina
| Professional | $32.34 | $32.34 | $52.08 | |
United
| Facility | $50.00 | $597.00 | $1,895.00 | |
United
| Professional | $22.80 | $42.87 | $80.56 |