| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.81 | $135.00 | $324.39 | |
Aetna
| Professional | $20.86 | $64.59 | $74.83 | |
Anthem BCBS
| Facility | $62.23 | $70.89 | $236.31 | |
Anthem BCBS
| Professional | $18.72 | $19.05 | $44.78 | |
CareSource
| Facility | $78.77 | $86.65 | $110.28 | |
CareSource
| Professional | $51.20 | $82.71 | $106.34 | |
Cigna
| Facility | $39.99 | $78.77 | $183.62 | |
Cigna
| Professional | $18.68 | $57.10 | $113.58 | |
United
| Professional | $19.03 | $33.08 | $70.89 |