| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.05 | $32.22 | $174.86 | |
Aetna
| Professional | $31.05 | $32.50 | $39.31 | |
Anthem BCBS
| Facility | $24.47 | $36.53 | $41.31 | |
Anthem BCBS
| Professional | $15.72 | $60.88 | $60.88 | |
CareSource
| Facility | $43.24 | $55.03 | $64.86 | |
CareSource
| Professional | $39.31 | $51.10 | $66.04 | |
Cigna
| Facility | $25.55 | $30.59 | $139.86 | |
Cigna
| Professional | $18.00 | $41.54 | $189.47 | |
United
| Professional | $17.02 | $23.59 | $39.31 |