| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $74.13 | $173.78 | |
Aetna
| Professional | $30.20 | $38.02 | $43.65 | |
Anthem BCBS
| Facility | $46.77 | $46.77 | $141.25 | |
Anthem BCBS
| Professional | $46.77 | $54.95 | $85.11 | |
CareSource
| Facility | $45.71 | $676.08 | $1,023.29 | |
Cigna
| Facility | $30.90 | $30.90 | $181.97 | |
Cigna
| Professional | $53.70 | $67.61 | $141.25 | |
United
| Facility | $46.77 | $46.77 | $46.77 | |
United
| Professional | $19.95 | $28.18 | $46.77 |