| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.59 | $33.59 | $33.59 | |
Aetna
| Professional | $29.33 | $41.00 | $50.06 | |
Anthem BCBS
| Facility | $60.24 | $60.24 | $116.26 | |
Anthem BCBS
| Professional | $38.88 | $51.20 | $81.15 | |
CareSource
| Facility | $51.76 | $428.04 | $1,282.77 | |
Cigna
| Facility | $58.90 | $58.90 | $58.90 | |
Cigna
| Professional | $64.00 | $76.68 | $83.08 | |
United
| Professional | $34.44 | $45.84 | $77.13 |