| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.54 | $76.61 | $173.43 | |
Aetna
| Professional | $34.78 | $38.54 | $39.95 | |
Anthem BCBS
| Facility | $54.80 | $141.00 | $255.16 | |
Anthem BCBS
| Professional | $46.58 | $54.80 | $73.81 | |
CareSource
| Facility | $47.00 | $61.10 | $75.20 | |
CareSource
| Professional | $47.00 | $56.40 | $70.50 | |
Cigna
| Facility | $30.55 | $88.65 | $183.89 | |
Cigna
| Professional | $57.35 | $68.70 | $72.34 | |
United
| Professional | $19.73 | $28.20 | $51.65 |