| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.65 | $42.19 | $228.85 | |
Aetna
| Professional | $32.50 | $40.65 | $51.45 | |
Anthem BCBS
| Facility | $32.03 | $51.45 | $92.02 | |
Anthem BCBS
| Professional | $55.81 | $153.36 | $153.36 | |
CareSource
| Facility | $56.60 | $72.03 | $84.89 | |
CareSource
| Professional | $51.45 | $66.89 | $86.44 | |
Cigna
| Facility | $33.44 | $40.03 | $412.15 | |
Cigna
| Professional | $23.48 | $54.35 | $247.99 | |
United
| Professional | $21.61 | $30.87 | $51.45 |