| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.31 | $102.01 | $132.00 | |
Anthem BCBS
| Professional | $85.54 | $105.86 | $121.19 | |
CareSource
| Facility | $116.23 | $117.41 | $170.24 | |
CareSource
| Professional | $106.78 | $123.28 | $187.86 | |
Cigna
| Facility | $144.97 | $144.97 | $144.97 | |
Cigna
| Professional | $109.35 | $119.61 | $590.88 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $103.07 | $124.35 | $184.86 |