| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $24.46 | $24.46 | |
Anthem BCBS
| Professional | $17.00 | $20.00 | $20.00 | |
CareSource
| Facility | $32.20 | $32.20 | $32.20 | |
Cigna
| Facility | $77.63 | $77.63 | $77.63 | |
Cigna
| Professional | $58.98 | $58.98 | $70.45 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |