| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.54 | $10.54 | $10.54 | |
Aetna
| Professional | $9.33 | $14.56 | $16.66 | |
Anthem BCBS
| Facility | $545.28 | $545.28 | $1,052.39 | |
Anthem BCBS
| Professional | $124.52 | $545.28 | $736.12 | |
CareSource
| Facility | $15.41 | $231.22 | $380.97 | |
Cigna
| Facility | $17.53 | $17.53 | $17.53 | |
Cigna
| Professional | $11.29 | $20.99 | $719.77 | |
United
| Professional | $14.38 | $17.38 | $28.58 |