| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.57 | $39.57 | $39.57 | |
Aetna
| Professional | $26.83 | $39.57 | $39.57 | |
Anthem BCBS
| Professional | $191.58 | $216.48 | $316.68 | |
CareSource
| Facility | $42.52 | $637.80 | $11,374.89 | |
CareSource
| Professional | $42.52 | $662.34 | $1,168.83 | |
United
| Professional | $39.27 | $53.42 | $90.22 |