| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.40 | $36.40 | $317.00 | |
Aetna
| Professional | $30.06 | $36.40 | $84.07 | |
Anthem BCBS
| Professional | $41.11 | $71.16 | $138.97 | |
CareSource
| Facility | $18.67 | $236.94 | $11,374.89 | |
CareSource
| Professional | $16.48 | $247.17 | $436.19 | |
United
| Professional | $38.59 | $72.34 | $110.42 |