| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $23.68 | $23.68 | |
Anthem BCBS
| Professional | $17.60 | $22.00 | $22.00 | |
CareSource
| Facility | $29.50 | $29.50 | $29.50 | |
Cigna
| Facility | $75.37 | $75.37 | $75.37 | |
Cigna
| Professional | $73.52 | $75.72 | $75.72 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |