| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.58 | $28.87 | $92.61 | |
Aetna
| Professional | $18.94 | $20.58 | $21.08 | |
Anthem BCBS
| Facility | $19.82 | $25.10 | $75.30 | |
Anthem BCBS
| Professional | $24.47 | $28.79 | $52.84 | |
CareSource
| Facility | $25.10 | $32.63 | $418.68 | |
CareSource
| Professional | $26.36 | $30.12 | $37.65 | |
Cigna
| Facility | $16.32 | $25.10 | $56.20 | |
Cigna
| Professional | $30.75 | $38.00 | $38.00 | |
United
| Professional | $10.54 | $15.06 | $22.84 |