| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Anthem BCBS
| Professional | $46.49 | $53.90 | $61.99 | |
CareSource
| Facility | $16.88 | $24.79 | $86.13 | |
Cigna
| Facility | $50.00 | $50.00 | $50.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |