| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.77 | $38.94 | $124.97 | |
Aetna
| Professional | $25.06 | $27.77 | $28.78 | |
Anthem BCBS
| Facility | $26.75 | $30.30 | $101.58 | |
Anthem BCBS
| Professional | $5.82 | $6.85 | $14.06 | |
CareSource
| Facility | $33.86 | $44.02 | $54.18 | |
CareSource
| Professional | $33.86 | $40.63 | $50.79 | |
Cigna
| Facility | $22.01 | $33.86 | $75.17 | |
Cigna
| Professional | $9.03 | $41.47 | $49.83 | |
United
| Professional | $14.22 | $20.32 | $37.21 |