| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.32 | $36.61 | $45.98 | |
Aetna
| Professional | $26.72 | $34.43 | $52.53 | |
Anthem BCBS
| Facility | $36.70 | $58.96 | $61.97 | |
Anthem BCBS
| Professional | $44.11 | $73.91 | $73.91 | |
CareSource
| Facility | $44.22 | $79.59 | $97.28 | |
CareSource
| Professional | $50.12 | $70.75 | $97.28 | |
Cigna
| Facility | $52.17 | $52.17 | $68.69 | |
Cigna
| Professional | $44.34 | $52.17 | $264.08 | |
Molina
| Professional | $60.60 | $73.91 | $92.38 | |
United
| Professional | $29.56 | $44.83 | $65.04 |