| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.79 | $113.90 | $131.76 | |
Anthem BCBS
| Professional | $105.26 | $108.42 | $140.75 | |
CareSource
| Professional | $115.44 | $145.38 | $207.68 | |
Cigna
| Professional | $108.92 | $108.92 | $570.64 | |
Molina
| Professional | $32.34 | $32.34 | $114.22 | |
United
| Professional | $85.54 | $134.11 | $188.28 |