| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.63 | $117.48 | $263.76 | |
Aetna
| Professional | $11.97 | $18.64 | $22.63 | |
BCBS
| Facility | $19.54 | $19.54 | $19.54 | |
BCBS
| Professional | $12.86 | $21.43 | $21.43 | |
CareSource
| Facility | $18.00 | $18.00 | $18.00 | |
CareSource
| Professional | $11.14 | $11.14 | $17.14 | |
Cigna
| Facility | $11.14 | $22.12 | $37.69 | |
Cigna
| Professional | $8.24 | $19.82 | $30.87 | |
United
| Facility | $15.43 | $15.43 | $15.43 | |
United
| Professional | $7.20 | $10.28 | $12.77 |