| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.85 | $57.77 | $111.77 | |
Aetna
| Professional | $41.91 | $54.29 | $79.81 | |
Anthem BCBS
| Professional | $48.10 | $57.30 | $85.02 | |
CareSource
| Facility | $40.88 | $59.46 | $70.61 | |
CareSource
| Professional | $51.41 | $65.44 | $81.02 | |
Cigna
| Facility | $71.34 | $71.34 | $98.63 | |
Cigna
| Professional | $49.14 | $68.54 | $126.05 | |
Molina
| Professional | $65.00 | $65.00 | $65.00 | |
United
| Professional | $59.36 | $68.80 | $109.21 |