| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.19 | $59.17 | $180.08 | |
Aetna
| Professional | $32.50 | $39.31 | $53.14 | |
Anthem BCBS
| Facility | $40.65 | $51.45 | $154.35 | |
Anthem BCBS
| Professional | $55.81 | $55.81 | $153.36 | |
CareSource
| Facility | $51.45 | $61.74 | $72.03 | |
CareSource
| Professional | $51.45 | $56.60 | $72.93 | |
Cigna
| Facility | $33.44 | $51.45 | $119.90 | |
Cigna
| Professional | $36.93 | $62.60 | $75.00 | |
United
| Professional | $21.61 | $30.87 | $56.54 |