| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.20 | $77.93 | $458.80 | |
Aetna
| Professional | $34.83 | $37.77 | $43.41 | |
Anthem BCBS
| Facility | $37.77 | $43.03 | $143.43 | |
Anthem BCBS
| Professional | $23.61 | $23.61 | $47.81 | |
CareSource
| Facility | $46.90 | $57.37 | $64.54 | |
CareSource
| Professional | $47.81 | $54.98 | $67.77 | |
Cigna
| Facility | $31.08 | $47.81 | $123.26 | |
Cigna
| Professional | $27.48 | $54.93 | $76.68 | |
United
| Facility | $47.81 | $47.81 | $47.81 | |
United
| Professional | $20.07 | $28.69 | $47.81 |