| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.92 | $93.28 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
Anthem BCBS
| Professional | $20.30 | $138.34 | $138.34 | |
CareSource
| Professional | $53.34 | $66.68 | $88.01 | |
Cigna
| Professional | $55.95 | $107.50 | $293.10 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $23.68 | $69.11 | $113.86 |