| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $128.86 | |
Anthem BCBS
| Professional | $60.00 | $80.00 | $113.34 | |
CareSource
| Facility | $91.00 | $131.63 | $55,999.44 | |
CareSource
| Professional | $91.00 | $114.08 | $50,749.49 | |
Cigna
| Professional | $73.00 | $73.00 | $107.62 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 |