| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.16 | $37.35 | $53.40 | |
Aetna
| Professional | $28.16 | $36.75 | $49.57 | |
Anthem BCBS
| Professional | $20.47 | $29.93 | $39.90 | |
CareSource
| Facility | $28.00 | $37.79 | $46.94 | |
CareSource
| Professional | $28.00 | $41.18 | $65.88 | |
Cigna
| Facility | $47.43 | $47.43 | $47.43 | |
Cigna
| Professional | $32.04 | $47.55 | $93.82 | |
Molina
| Professional | $29.25 | $32.34 | $50.46 | |
United
| Professional | $41.02 | $51.84 | $76.77 |