| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.28 | $59.28 | $59.28 | |
Aetna
| Professional | $46.26 | $59.28 | $78.91 | |
Anthem BCBS
| Facility | $1.35 | $1.35 | $2.61 | |
Anthem BCBS
| Professional | $1.13 | $1.35 | $52.59 | |
CareSource
| Facility | $62.95 | $944.28 | $1,416.42 | |
Cigna
| Facility | $92.46 | $92.46 | $92.46 | |
Cigna
| Professional | $1.78 | $1.78 | $346.77 | |
United
| Professional | $45.88 | $186.82 | $287.04 |