| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $83.18 | $194.98 | |
Aetna
| Professional | $34.67 | $42.66 | $52.48 | |
Anthem BCBS
| Facility | $52.48 | $52.48 | $158.49 | |
Anthem BCBS
| Professional | $5.01 | $5.01 | $40.74 | |
CareSource
| Facility | $51.29 | $758.58 | $43,651.58 | |
Cigna
| Facility | $28.18 | $33.88 | $204.17 | |
Cigna
| Professional | $6.03 | $60.26 | $75.86 | |
United
| Facility | $23.99 | $52.48 | $52.48 | |
United
| Professional | $22.39 | $31.62 | $52.48 |