| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.60 | $41.14 | $512.55 | |
Aetna
| Professional | $23.50 | $37.71 | $46.37 | |
Anthem BCBS
| Professional | $17.98 | $24.94 | $41.56 | |
CareSource
| Facility | $22.91 | $30.93 | $34.44 | |
CareSource
| Professional | $28.64 | $42.99 | $62.53 | |
Cigna
| Facility | $40.09 | $40.09 | $40.09 | |
Cigna
| Facility | AS | $4.01 | $4.01 | $4.01 |
Cigna
| Professional | $13.97 | $31.11 | $74.01 | |
Molina
| Professional | $32.34 | $32.34 | $50.80 | |
United
| Professional | $30.23 | $37.99 | $46.40 |