| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.83 | $64.83 | $89.52 | |
Aetna
| Professional | $43.73 | $64.83 | $64.83 | |
BCBS
| Facility | $58.65 | $58.65 | $58.65 | |
BCBS
| Professional | $52.48 | $77.18 | $77.18 | |
CareSource
| Facility | $51.45 | $51.45 | $61.74 | |
CareSource
| Professional | $33.44 | $33.44 | $51.45 | |
Cigna
| Facility | $38.79 | $67.20 | $118.85 | |
Cigna
| Professional | $44.23 | $55.41 | $79.34 | |
United
| Professional | $21.61 | $30.87 | $51.45 |