| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.13 | $38.54 | $209.06 | |
Aetna
| Professional | $32.50 | $37.60 | $47.00 | |
Anthem BCBS
| Facility | $29.26 | $47.00 | $52.61 | |
Anthem BCBS
| Professional | $18.80 | $87.68 | $87.68 | |
CareSource
| Facility | $56.40 | $65.80 | $77.55 | |
CareSource
| Professional | $54.05 | $63.45 | $94.00 | |
Cigna
| Facility | $30.55 | $36.57 | $225.86 | |
Cigna
| Professional | $21.50 | $49.85 | $226.54 | |
United
| Professional | $19.73 | $28.20 | $47.00 |