| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.42 | $123.62 | $185.43 | |
Aetna
| Professional | $53.02 | $123.62 | $123.62 | |
BCBS
| Facility | $111.85 | $111.85 | $111.85 | |
BCBS
| Professional | $83.40 | $122.64 | $122.64 | |
CareSource
| Facility | $103.02 | $103.02 | $103.02 | |
CareSource
| Professional | $63.77 | $63.77 | $63.77 | |
Cigna
| Facility | $59.30 | $77.09 | $163.29 | |
Cigna
| Professional | $38.26 | $112.75 | $140.94 | |
United
| Professional | $41.21 | $54.38 | $123.27 |