| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.40 | $79.55 | $104.28 | |
Aetna
| Professional | $41.71 | $48.40 | $70.73 | |
Anthem BCBS
| Facility | $88.08 | $88.08 | $169.99 | |
Anthem BCBS
| Professional | $74.86 | $88.08 | $121.55 | |
CareSource
| Facility | $46.12 | $691.84 | $1,163.70 | |
CareSource
| Professional | $54.65 | $54.65 | $78.08 | |
United
| Professional | $70.16 | $83.39 | $150.00 |