| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $40.74 | $56.23 | |
Anthem BCBS
| Professional | $48.98 | $57.54 | $63.10 | |
CareSource
| Facility | $38.90 | $54.95 | $66.07 | |
CareSource
| Professional | $38.90 | $64.57 | $74.13 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $46.77 | $52.48 | $389.05 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $45.71 | $52.48 | $87.10 |