| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.33 | $38.75 | $210.17 | |
Aetna
| Professional | $32.50 | $37.79 | $47.25 | |
Anthem BCBS
| Facility | $29.41 | $47.25 | $80.23 | |
Anthem BCBS
| Professional | $50.39 | $133.71 | $133.71 | |
CareSource
| Facility | $51.98 | $66.15 | $77.95 | |
CareSource
| Professional | $47.25 | $61.43 | $79.38 | |
Cigna
| Facility | $30.71 | $36.77 | $417.95 | |
Cigna
| Professional | $21.51 | $49.85 | $227.75 | |
United
| Professional | $20.46 | $28.35 | $47.25 |