| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $32.36 | $74.13 | |
Aetna
| Professional | $15.14 | $16.98 | $23.99 | |
Anthem BCBS
| Facility | $20.89 | $20.89 | $63.10 | |
Anthem BCBS
| Professional | $6.03 | $9.33 | $19.50 | |
CareSource
| Facility | $14.13 | $14.13 | $26.30 | |
Cigna
| Facility | $15.14 | $20.89 | $48.98 | |
Cigna
| Professional | $9.55 | $13.49 | $40.74 | |
United
| Facility | $9.33 | $20.89 | $20.89 | |
United
| Professional | $8.71 | $12.59 | $20.89 |