| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $63.10 | |
Aetna
| Professional | $56.23 | $64.57 | $97.72 | |
Anthem BCBS
| Professional | $60.26 | $70.79 | $91.20 | |
CareSource
| Facility | $57.54 | $77.62 | $107.15 | |
CareSource
| Professional | $57.54 | $77.62 | $107.15 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $66.07 | $95.50 | $338.84 | |
Molina
| Professional | $45.71 | $46.77 | $63.10 | |
United
| Professional | $66.07 | $83.18 | $128.82 |