| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.95 | $103.15 | $229.28 | |
Aetna
| Professional | $49.09 | $50.95 | $59.03 | |
Anthem BCBS
| Facility | $31.92 | $186.42 | $337.36 | |
Anthem BCBS
| Professional | $27.13 | $31.92 | $43.09 | |
CareSource
| Facility | $62.14 | $77.68 | $1,368.89 | |
CareSource
| Professional | $62.14 | $68.34 | $83.89 | |
Cigna
| Facility | $40.39 | $117.38 | $242.63 | |
Cigna
| Professional | $42.13 | $71.45 | $89.31 | |
United
| Facility | $62.14 | $62.14 | $62.14 | |
United
| Professional | $26.10 | $37.28 | $58.05 |