| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.35 | $41.92 | $230.70 | |
Aetna
| Professional | $14.35 | $30.35 | $30.35 | |
BCBS
| Facility | $27.46 | $27.46 | $27.46 | |
BCBS
| Professional | $24.58 | $36.14 | $36.14 | |
CareSource
| Facility | $25.29 | $25.29 | $25.29 | |
CareSource
| Professional | $15.66 | $15.66 | $24.09 | |
Cigna
| Facility | $16.62 | $22.30 | $45.88 | |
Cigna
| Professional | $10.74 | $22.49 | $34.59 | |
United
| Professional | $10.11 | $14.75 | $25.23 |