| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.51 | $79.26 | $254.30 | |
Aetna
| Professional | $36.00 | $56.51 | $65.47 | |
Anthem BCBS
| Facility | $54.45 | $62.03 | $206.76 | |
Anthem BCBS
| Professional | $32.40 | $32.40 | $46.02 | |
CareSource
| Facility | $68.92 | $82.70 | $110.27 | |
CareSource
| Professional | $68.92 | $75.81 | $93.04 | |
Cigna
| Facility | $44.80 | $68.92 | $130.22 | |
Cigna
| Professional | $42.78 | $79.30 | $99.12 | |
United
| Professional | $28.95 | $41.35 | $64.39 |