| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.17 | $24.08 | $77.27 | |
Aetna
| Professional | $16.54 | $17.17 | $19.89 | |
Anthem BCBS
| Facility | $16.54 | $18.85 | $62.82 | |
Anthem BCBS
| Professional | $6.03 | $7.95 | $15.68 | |
CareSource
| Facility | $20.94 | $25.21 | $28.27 | |
CareSource
| Professional | $20.94 | $24.08 | $29.68 | |
Cigna
| Facility | $13.78 | $20.94 | $48.62 | |
Cigna
| Professional | $12.40 | $24.37 | $50.04 | |
United
| Professional | $8.78 | $12.56 | $20.93 |