| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.47 | $66.48 | $194.16 | |
Aetna
| Professional | $34.47 | $34.92 | $43.65 | |
Anthem BCBS
| Facility | $27.17 | $39.29 | $45.88 | |
Anthem BCBS
| Professional | $21.56 | $21.56 | $51.68 | |
CareSource
| Facility | $52.38 | $61.11 | $72.02 | |
CareSource
| Professional | $50.20 | $58.93 | $87.30 | |
Cigna
| Facility | $28.37 | $33.96 | $94.41 | |
Cigna
| Professional | $20.07 | $46.04 | $210.39 | |
United
| Professional | $18.89 | $35.72 | $59.55 |