| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.79 | $50.20 | $152.78 | |
Aetna
| Professional | $34.92 | $36.67 | $45.42 | |
Anthem BCBS
| Facility | $34.47 | $39.29 | $130.94 | |
Anthem BCBS
| Professional | $21.56 | $21.56 | $43.65 | |
CareSource
| Facility | $43.65 | $56.75 | $61.11 | |
CareSource
| Professional | $43.65 | $52.38 | $65.48 | |
Cigna
| Facility | $35.03 | $43.65 | $113.20 | |
Cigna
| Professional | $28.46 | $40.86 | $76.53 | |
United
| Professional | $18.32 | $26.19 | $47.97 |