| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $112.20 | $229.09 | |
Aetna
| Professional | $10.96 | $12.88 | $19.05 | |
BCBS
| Facility | $19.50 | $19.50 | $26.92 | |
BCBS
| Professional | $15.49 | $25.70 | $25.70 | |
CareSource
| Facility | $18.20 | $18.20 | $18.20 | |
CareSource
| Professional | $11.22 | $11.22 | $17.38 | |
Cigna
| Facility | $11.22 | $21.88 | $32.36 | |
Cigna
| Professional | $7.24 | $15.85 | $24.55 | |
United
| Facility | $11.22 | $15.49 | $17.38 | |
United
| Professional | $7.24 | $10.47 | $17.38 |