| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.54 | $60.26 | $114.82 | |
Aetna
| Professional | $23.99 | $38.02 | $48.98 | |
Anthem BCBS
| Facility | $81.28 | $81.28 | $158.49 | |
Anthem BCBS
| Professional | $60.26 | $81.28 | $128.82 | |
CareSource
| Facility | $38.90 | $602.56 | $43,651.58 | |
Cigna
| Professional | $75.86 | $107.15 | $107.15 | |
United
| Facility | $26.30 | $30.90 | $89.13 | |
United
| Professional | $28.84 | $38.90 | $67.61 |