| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $38.02 | $38.02 | |
Aetna
| Professional | $34.67 | $52.48 | $61.66 | |
Anthem BCBS
| Facility | $50.12 | $288.40 | $389.05 | |
Anthem BCBS
| Professional | $50.12 | $66.07 | $89.13 | |
CareSource
| Facility | $53.70 | $831.76 | $43,651.58 | |
Cigna
| Professional | $56.23 | $66.07 | $263.03 | |
United
| Facility | $77.62 | $77.62 | $79.43 | |
United
| Professional | $48.98 | $60.26 | $97.72 |