| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.01 | $79.95 | $256.55 | |
Aetna
| Professional | $55.62 | $59.09 | $350.00 | |
Anthem BCBS
| Facility | $54.92 | $62.22 | $208.56 | |
Anthem BCBS
| Professional | $27.81 | $27.81 | $53.60 | |
CareSource
| Facility | $69.52 | $83.42 | $111.23 | |
CareSource
| Professional | $69.52 | $76.47 | $93.85 | |
Cigna
| Facility | $45.19 | $69.52 | $161.82 | |
Cigna
| Professional | $36.71 | $80.12 | $100.15 | |
United
| Professional | $29.20 | $41.71 | $69.52 |