| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.20 | $117.67 | $618.08 | |
Aetna
| Professional | $51.79 | $52.83 | $64.97 | |
Anthem BCBS
| Facility | $57.03 | $64.61 | $216.57 | |
Anthem BCBS
| Professional | $28.88 | $31.76 | $57.75 | |
CareSource
| Facility | $70.66 | $79.41 | $93.85 | |
CareSource
| Professional | $72.19 | $79.41 | $97.46 | |
Cigna
| Facility | $72.19 | $72.19 | $160.56 | |
Cigna
| Professional | $33.02 | $83.01 | $103.77 | |
United
| Professional | $30.32 | $43.31 | $79.41 |