| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.71 | $100.20 | $254.01 | |
Aetna
| Professional | $6.73 | $11.28 | $12.71 | |
BCBS
| Facility | $9.31 | $9.31 | $9.31 | |
BCBS
| Professional | $9.26 | $13.62 | $13.62 | |
CareSource
| Facility | $8.58 | $8.58 | $8.58 | |
CareSource
| Professional | $5.31 | $5.31 | $8.17 | |
Cigna
| Facility | $6.16 | $10.08 | $20.74 | |
Cigna
| Professional | $4.86 | $9.50 | $11.87 | |
United
| Facility | $5.31 | $5.31 | $10.21 | |
United
| Professional | $3.43 | $4.90 | $15.53 |