| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.19 | $312.19 | $312.19 | |
Aetna
| Professional | $232.75 | $265.14 | $331.22 | |
Anthem BCBS
| Professional | $70.09 | $304.00 | $304.00 | |
CareSource
| Facility | $42.01 | $65.34 | $77.36 | |
CareSource
| Professional | $46.68 | $58.55 | $80.50 | |
Cigna
| Facility | $43.07 | $64.00 | $64.00 | |
Cigna
| Professional | $34.33 | $34.33 | $72.28 | |
Molina
| Professional | $33.06 | $45.26 | $45.26 | |
United
| Professional | $15.81 | $26.25 | $43.89 |