| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.91 | $52.46 | $116.60 | |
Aetna
| Professional | $25.28 | $25.91 | $26.86 | |
Anthem BCBS
| Facility | $4.41 | $94.80 | $171.56 | |
Anthem BCBS
| Professional | $3.96 | $4.41 | $18.92 | |
CareSource
| Facility | $31.60 | $39.50 | $698.78 | |
CareSource
| Professional | $31.60 | $34.76 | $42.66 | |
Cigna
| Facility | $20.54 | $59.91 | $123.87 | |
Cigna
| Professional | $5.82 | $36.34 | $45.43 | |
United
| Professional | $13.27 | $18.96 | $31.60 |