| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.70 | $40.25 | $122.50 | |
Aetna
| Professional | $27.65 | $28.70 | $33.25 | |
Anthem BCBS
| Facility | $27.65 | $31.33 | $105.00 | |
Anthem BCBS
| Professional | $14.00 | $14.00 | $38.47 | |
CareSource
| Facility | $35.00 | $45.50 | $49.00 | |
CareSource
| Professional | $35.00 | $42.00 | $52.50 | |
Cigna
| Facility | $22.75 | $35.00 | $81.34 | |
Cigna
| Professional | $18.48 | $31.40 | $50.88 | |
United
| Professional | $14.70 | $21.00 | $38.47 |