| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.17 | $76.59 | $128.27 | |
Aetna
| Professional | $58.59 | $70.54 | $94.66 | |
Anthem BCBS
| Professional | $54.38 | $63.98 | $81.62 | |
CareSource
| Facility | $59.19 | $79.91 | $99.22 | |
CareSource
| Professional | $64.68 | $87.04 | $114.89 | |
Cigna
| Facility | $100.27 | $100.27 | $100.27 | |
Cigna
| Professional | $63.82 | $85.05 | $349.26 | |
Molina
| Professional | $32.34 | $32.34 | $82.16 | |
United
| Professional | $68.79 | $88.29 | $129.71 |