| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.56 | $159.31 | $335.77 | |
Aetna
| Professional | $20.56 | $159.31 | $342.29 | |
Anthem BCBS
| Professional | $20.85 | $31.12 | $47.28 | |
CareSource
| Facility | $19.94 | $24.29 | $27.38 | |
CareSource
| Professional | $17.79 | $28.36 | $570.16 | |
Cigna
| Facility | $34.22 | $34.22 | $34.22 | |
Cigna
| Professional | $20.14 | $98.23 | $497.97 | |
Molina
| Professional | $32.34 | $32.34 | $370.60 | |
United
| Professional | $149.46 | $261.55 | $308.57 |