| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $33.11 | |
Aetna
| Professional | $28.84 | $43.65 | $50.12 | |
Anthem BCBS
| Facility | $60.26 | $102.33 | $117.49 | |
Anthem BCBS
| Professional | $38.90 | $60.26 | $93.33 | |
CareSource
| Facility | $51.29 | $398.11 | $1,174.90 | |
Cigna
| Facility | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $61.66 | $75.86 | $245.47 | |
United
| Facility | $20.42 | $20.42 | $40.74 | |
United
| Professional | $36.31 | $46.77 | $77.62 |