| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.54 | $54.05 | $164.50 | |
Aetna
| Professional | $32.50 | $38.54 | $44.65 | |
Anthem BCBS
| Facility | $37.13 | $42.07 | $141.00 | |
Anthem BCBS
| Professional | $18.80 | $18.80 | $87.68 | |
CareSource
| Facility | $47.00 | $61.10 | $65.80 | |
CareSource
| Professional | $47.00 | $56.40 | $70.50 | |
Cigna
| Facility | $30.55 | $47.00 | $108.99 | |
Cigna
| Professional | $24.82 | $42.40 | $68.00 | |
United
| Professional | $19.73 | $28.20 | $51.65 |