| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.84 | $63.84 | $63.84 | |
Aetna
| Professional | $55.47 | $63.84 | $76.06 | |
Anthem BCBS
| Professional | $60.48 | $71.16 | $101.39 | |
CareSource
| Facility | $63.40 | $81.14 | $108.19 | |
CareSource
| Professional | $61.50 | $84.53 | $111.57 | |
Cigna
| Facility | $83.52 | $83.52 | $83.52 | |
Cigna
| Professional | $66.28 | $89.88 | $150.69 | |
Molina
| Professional | $45.37 | $47.19 | $62.92 | |
United
| Professional | $65.59 | $83.31 | $128.26 |