| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $53.70 | |
Aetna
| Professional | $14.13 | $23.99 | $32.36 | |
Anthem BCBS
| Facility | $30.90 | $30.90 | $60.26 | |
Anthem BCBS
| Professional | $5.01 | $30.90 | $48.98 | |
CareSource
| Facility | $42.66 | $645.65 | $43,651.58 | |
Cigna
| Professional | $33.88 | $48.98 | $61.66 | |
United
| Facility | $2.82 | $2.82 | $21.88 | |
United
| Professional | $2.69 | $16.98 | $33.11 |