| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.05 | $83.01 | $83.01 | |
Aetna
| Professional | $60.53 | $73.30 | $91.91 | |
Anthem BCBS
| Facility | $83.12 | $133.52 | $140.33 | |
Anthem BCBS
| Professional | $39.00 | $39.00 | $200.00 | |
CareSource
| Facility | $100.14 | $180.25 | $220.31 | |
CareSource
| Professional | $113.49 | $160.22 | $220.31 | |
Cigna
| Facility | $52.17 | $52.17 | $155.57 | |
Cigna
| Professional | $38.08 | $52.17 | $598.16 | |
Molina
| Professional | $100.00 | $100.00 | $144.16 | |
United
| Professional | $70.64 | $106.01 | $150.18 |