| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.91 | $119.42 | $834.00 | |
Aetna
| Professional | $77.91 | $77.91 | $150.00 | |
Anthem BCBS
| Professional | $50.25 | $121.70 | $121.70 | |
CareSource
| Facility | $148.83 | $148.83 | $148.83 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |