| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.43 | $27.43 | $27.43 | |
Aetna
| Professional | $23.72 | $37.75 | $43.38 | |
Anthem BCBS
| Facility | $66.88 | $66.88 | $129.08 | |
Anthem BCBS
| Professional | $39.07 | $66.88 | $92.29 | |
CareSource
| Facility | $41.60 | $594.41 | $1,048.95 | |
Cigna
| Facility | $48.09 | $48.09 | $48.09 | |
Cigna
| Professional | $57.90 | $57.90 | $80.42 | |
United
| Professional | $38.69 | $44.74 | $74.84 |