| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.18 | $43.18 | $43.18 | |
Aetna
| Professional | $37.31 | $49.78 | $69.97 | |
Anthem BCBS
| Facility | $101.43 | $101.43 | $195.76 | |
Anthem BCBS
| Professional | $79.08 | $101.43 | $139.97 | |
CareSource
| Facility | $67.08 | $778.68 | $1,692.09 | |
Cigna
| Facility | $71.95 | $71.95 | $71.95 | |
Cigna
| Professional | $95.49 | $95.49 | $300.91 | |
United
| Professional | $59.05 | $70.14 | $125.99 |