| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.95 | $144.12 | $183.17 | |
Anthem BCBS
| Professional | $126.20 | $154.22 | $175.57 | |
CareSource
| Facility | $168.90 | $170.61 | $247.38 | |
CareSource
| Professional | $169.86 | $185.47 | $272.98 | |
Cigna
| Facility | $211.40 | $211.40 | $211.40 | |
Cigna
| Professional | $152.28 | $175.28 | $857.53 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $143.90 | $172.92 | $257.87 |