| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.61 | $41.61 | $41.61 | |
Aetna
| Professional | $36.54 | $52.21 | $93.19 | |
Anthem BCBS
| Facility | $40.34 | $40.34 | $136.75 | |
Anthem BCBS
| Professional | $34.28 | $47.25 | $64.58 | |
CareSource
| Facility | $44.62 | $58.01 | $121,498.80 | |
CareSource
| Professional | $44.62 | $47.41 | $66.93 | |
Cigna
| Professional | $63.28 | $74.45 | $74.45 | |
United
| Professional | $41.94 | $53.54 | $83.00 |