| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.92 | $113.57 | $318.08 | |
Aetna
| Professional | $23.35 | $99.25 | $99.25 | |
BCBS
| Facility | $89.80 | $89.80 | $89.80 | |
BCBS
| Professional | $66.95 | $98.46 | $98.46 | |
CareSource
| Facility | $82.71 | $82.71 | $82.71 | |
CareSource
| Professional | $51.20 | $51.20 | $78.77 | |
Cigna
| Facility | $26.13 | $51.20 | $102.91 | |
Cigna
| Professional | $16.92 | $35.20 | $113.58 | |
United
| Professional | $23.17 | $33.08 | $53.92 |