| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.73 | $48.97 | $623.02 | |
Aetna
| Professional | $25.77 | $40.03 | $51.55 | |
Anthem BCBS
| Professional | $20.01 | $27.22 | $50.15 | |
CareSource
| Facility | $25.31 | $33.49 | $34.97 | |
CareSource
| Professional | $24.81 | $35.97 | $66.61 | |
Cigna
| Facility | $43.42 | $43.42 | $43.42 | |
Cigna
| Facility | AS | $4.34 | $4.34 | $4.34 |
Cigna
| Professional | $15.32 | $33.43 | $80.76 | |
Molina
| Professional | $32.34 | $32.34 | $60.28 | |
United
| Professional | $31.55 | $43.44 | $50.15 |