| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.70 | $49.46 | $49.46 | |
Aetna
| Professional | $42.53 | $49.57 | $53.80 | |
Anthem BCBS
| Facility | $57.77 | $92.81 | $97.54 | |
Anthem BCBS
| Professional | $50.18 | $50.18 | $52.41 | |
CareSource
| Facility | $69.61 | $130.86 | $161.96 | |
CareSource
| Professional | $88.17 | $116.01 | $153.13 | |
Cigna
| Facility | $53.85 | $53.85 | $112.17 | |
Cigna
| Professional | $39.31 | $78.84 | $126.45 | |
Molina
| Professional | $43.57 | $54.12 | $66.42 | |
United
| Professional | $30.87 | $46.30 | $74.25 |