| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.25 | $86.30 | $127.55 | |
Aetna
| Professional | $65.48 | $78.42 | $101.86 | |
Anthem BCBS
| Professional | $76.12 | $91.63 | $135.03 | |
CareSource
| Facility | $66.18 | $94.54 | $117.97 | |
CareSource
| Professional | $77.64 | $99.52 | $136.46 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $80.88 | $122.65 | $204.34 | |
Molina
| Professional | $45.00 | $45.00 | $122.34 | |
United
| Professional | $89.16 | $114.37 | $178.33 |