| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.81 | $41.62 | $289.42 | |
Aetna
| Professional | $13.53 | $18.55 | $19.66 | |
Anthem BCBS
| Facility | $16.44 | $18.73 | $62.43 | |
Anthem BCBS
| Professional | $6.76 | $8.73 | $14.36 | |
CareSource
| Facility | $20.81 | $22.89 | $29.13 | |
CareSource
| Professional | $13.53 | $21.85 | $28.09 | |
Cigna
| Facility | $15.23 | $20.81 | $53.66 | |
Cigna
| Professional | $13.70 | $23.95 | $52.33 | |
United
| Professional | $8.74 | $12.49 | $20.81 |