| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.00 | $37.46 | $98.76 | |
Aetna
| Professional | $15.92 | $31.90 | $37.46 | |
BCBS
| Facility | $27.45 | $27.45 | $27.45 | |
BCBS
| Professional | $24.08 | $36.11 | $40.13 | |
CareSource
| Facility | $25.28 | $25.28 | $25.28 | |
CareSource
| Professional | $15.65 | $15.65 | $24.08 | |
Cigna
| Facility | $18.14 | $28.83 | $61.32 | |
Cigna
| Professional | $14.27 | $27.67 | $34.59 | |
United
| Facility | $24.08 | $24.08 | $24.08 | |
United
| Professional | $10.11 | $17.05 | $21.84 |