| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.03 | $72.19 | $321.08 | |
Aetna
| Professional | $52.18 | $52.83 | $66.41 | |
Anthem BCBS
| Facility | $28.88 | $64.97 | $75.87 | |
Anthem BCBS
| Professional | $28.88 | $57.75 | $57.75 | |
CareSource
| Facility | $72.19 | $86.63 | $115.50 | |
CareSource
| Professional | $77.23 | $93.85 | $144.38 | |
Cigna
| Facility | $46.92 | $55.08 | $140.52 | |
Cigna
| Professional | $33.02 | $79.41 | $347.96 | |
United
| Professional | $30.32 | $43.31 | $79.41 |