| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.88 | $51.13 | $76.62 | |
Aetna
| Professional | $39.97 | $47.75 | $59.75 | |
Anthem BCBS
| Professional | $27.00 | $40.10 | $51.93 | |
CareSource
| Facility | $40.09 | $54.13 | $67.22 | |
CareSource
| Professional | $40.09 | $58.96 | $77.95 | |
Cigna
| Facility | $67.92 | $67.92 | $67.92 | |
Cigna
| Professional | $45.06 | $60.96 | $117.53 | |
Molina
| Professional | $32.34 | $32.34 | $58.87 | |
United
| Professional | $50.24 | $65.94 | $97.46 |