| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.77 | $74.62 | $77.38 | |
Aetna
| Professional | $64.09 | $76.84 | $83.39 | |
Anthem BCBS
| Facility | $90.37 | $145.16 | $152.57 | |
Anthem BCBS
| Professional | $67.90 | $85.01 | $85.01 | |
CareSource
| Facility | $108.88 | $204.69 | $248.42 | |
CareSource
| Professional | $137.91 | $181.46 | $239.53 | |
Cigna
| Facility | $100.43 | $100.43 | $186.20 | |
Cigna
| Professional | $73.31 | $100.43 | $780.41 | |
Molina
| Professional | $75.86 | $92.52 | $115.65 | |
United
| Professional | $48.28 | $72.43 | $99.18 |