| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.00 | $119.17 | $350.28 | |
Aetna
| Professional | $0.02 | $13.64 | $13.64 | |
BCBS
| Facility | $19.69 | $19.69 | $19.69 | |
CareSource
| Facility | $18.13 | $18.13 | $18.13 | |
CareSource
| Professional | $11.23 | $11.23 | $17.27 | |
Cigna
| Facility | $11.23 | $13.03 | $30.99 | |
Cigna
| Professional | $7.21 | $19.82 | $24.78 | |
United
| Facility | $15.54 | $15.54 | $15.54 | |
United
| Professional | $7.25 | $10.36 | $11.05 |