| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $52.48 | $125.89 | |
Aetna
| Professional | $21.88 | $26.92 | $32.36 | |
Anthem BCBS
| Facility | $33.88 | $33.88 | $102.33 | |
Anthem BCBS
| Professional | $6.46 | $8.51 | $14.45 | |
CareSource
| Facility | $33.11 | $489.78 | $741.31 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $9.12 | $41.69 | $102.33 | |
United
| Facility | $33.88 | $33.88 | $33.88 | |
United
| Professional | $14.13 | $20.42 | $33.88 |