| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.19 | $312.19 | $312.19 | |
Aetna
| Professional | $167.31 | $262.73 | $323.70 | |
Anthem BCBS
| Professional | $20.21 | $224.08 | $280.10 | |
CareSource
| Facility | $43.91 | $67.69 | $85.38 | |
CareSource
| Professional | $46.68 | $58.55 | $80.50 | |
Cigna
| Facility | $38.00 | $64.00 | $64.00 | |
Cigna
| Professional | $35.88 | $66.81 | $66.81 | |
Molina
| Professional | $17.29 | $20.74 | $45.26 | |
United
| Professional | $15.45 | $23.17 | $30.90 |