| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.68 | $69.68 | $392.31 | |
Aetna
| Professional | $61.74 | $70.56 | $81.14 | |
Anthem BCBS
| Facility | $35.72 | $79.38 | $92.70 | |
Anthem BCBS
| Professional | $35.28 | $59.53 | $59.53 | |
CareSource
| Facility | $105.84 | $123.48 | $145.53 | |
CareSource
| Professional | $101.43 | $119.07 | $176.40 | |
Cigna
| Facility | $57.33 | $68.63 | $167.62 | |
Cigna
| Professional | $40.29 | $93.13 | $425.12 | |
United
| Professional | $37.04 | $52.92 | $88.20 |