| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.54 | $59.54 | $82.22 | |
Aetna
| Professional | $40.15 | $59.54 | $59.54 | |
BCBS
| Facility | $53.87 | $53.87 | $53.87 | |
BCBS
| Professional | $48.20 | $70.88 | $70.88 | |
CareSource
| Facility | $47.25 | $47.25 | $56.70 | |
CareSource
| Professional | $30.71 | $30.71 | $47.25 | |
Cigna
| Facility | $35.61 | $61.51 | $101.73 | |
Cigna
| Professional | $40.61 | $50.76 | $72.69 | |
United
| Professional | $19.85 | $28.35 | $47.25 |