| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.01 | $39.40 | $39.40 | |
Aetna
| Professional | $28.77 | $36.36 | $48.79 | |
Anthem BCBS
| Facility | $39.50 | $63.45 | $66.69 | |
Anthem BCBS
| Professional | $29.58 | $29.58 | $54.36 | |
CareSource
| Facility | $47.59 | $85.66 | $104.69 | |
CareSource
| Professional | $53.93 | $76.14 | $104.69 | |
Cigna
| Facility | $57.67 | $57.67 | $84.16 | |
Cigna
| Professional | $42.10 | $57.67 | $284.19 | |
Molina
| Professional | $55.66 | $67.89 | $84.86 | |
United
| Professional | $30.54 | $48.81 | $66.98 |