| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.77 | $35.45 | $165.44 | |
Aetna
| Professional | $15.73 | $16.37 | $22.90 | |
Anthem BCBS
| Facility | $19.05 | $21.70 | $72.33 | |
Anthem BCBS
| Professional | $8.31 | $9.64 | $16.63 | |
CareSource
| Facility | $24.11 | $26.52 | $33.75 | |
CareSource
| Professional | $15.67 | $25.32 | $32.54 | |
Cigna
| Facility | $15.67 | $24.11 | $56.18 | |
Cigna
| Professional | $11.89 | $28.08 | $38.94 | |
United
| Professional | $10.13 | $14.47 | $21.70 |