| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $97.72 | $229.09 | |
Aetna
| Professional | $41.69 | $50.12 | $61.66 | |
Anthem BCBS
| Facility | $61.66 | $61.66 | $186.21 | |
Anthem BCBS
| Professional | $26.92 | $31.62 | $61.66 | |
CareSource
| Facility | $60.26 | $912.01 | $43,651.58 | |
Cigna
| Facility | $40.74 | $40.74 | $239.88 | |
Cigna
| Professional | $41.69 | $70.79 | $97.72 | |
United
| Facility | $28.18 | $61.66 | $61.66 | |
United
| Professional | $26.30 | $37.15 | $61.66 |