| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.65 | $28.70 | $155.68 | |
Aetna
| Professional | $27.65 | $28.70 | $35.00 | |
Anthem BCBS
| Facility | $21.79 | $35.00 | $38.47 | |
Anthem BCBS
| Professional | $14.00 | $38.47 | $38.47 | |
CareSource
| Facility | $42.00 | $49.00 | $57.75 | |
CareSource
| Professional | $40.25 | $47.25 | $70.00 | |
Cigna
| Facility | $22.75 | $27.23 | $64.41 | |
Cigna
| Professional | $15.93 | $37.04 | $168.70 | |
United
| Professional | $14.70 | $21.00 | $35.00 |