| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.39 | $43.61 | $166.69 | |
Aetna
| Professional | $16.44 | $32.38 | $32.38 | |
BCBS
| Facility | $23.72 | $23.72 | $23.72 | |
BCBS
| Professional | $23.60 | $34.70 | $34.70 | |
CareSource
| Facility | $21.85 | $21.85 | $21.85 | |
CareSource
| Professional | $13.53 | $13.53 | $20.81 | |
Cigna
| Facility | $15.69 | $25.70 | $52.80 | |
Cigna
| Professional | $12.36 | $23.95 | $29.94 | |
United
| Professional | $8.74 | $14.70 | $29.07 |