| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.90 | $75.30 | $491.99 | |
Aetna
| Professional | $14.76 | $27.89 | $37.59 | |
BCBS
| Facility | $20.44 | $20.44 | $20.44 | |
BCBS
| Professional | $20.32 | $29.90 | $29.90 | |
CareSource
| Facility | $18.82 | $18.82 | $18.82 | |
CareSource
| Professional | $11.65 | $11.65 | $17.93 | |
Cigna
| Facility | $13.51 | $22.14 | $45.88 | |
Cigna
| Professional | $10.59 | $20.65 | $25.81 | |
United
| Facility | $17.94 | $17.94 | $17.94 | |
United
| Professional | $7.53 | $11.55 | $25.06 |