| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.08 | $55.08 | $55.08 | |
Aetna
| Professional | $48.05 | $55.08 | $65.89 | |
Anthem BCBS
| Professional | $52.68 | $61.98 | $86.08 | |
CareSource
| Facility | $54.93 | $70.30 | $93.74 | |
CareSource
| Professional | $53.29 | $73.23 | $96.67 | |
Cigna
| Facility | $72.36 | $72.36 | $72.36 | |
Cigna
| Professional | $57.89 | $78.01 | $131.18 | |
Molina
| Professional | $39.51 | $41.09 | $54.78 | |
United
| Professional | $56.95 | $73.55 | $110.46 |