| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.32 | $30.32 | $41.86 | |
Aetna
| Professional | $9.19 | $30.32 | $30.32 | |
BCBS
| Facility | $27.43 | $27.43 | $27.43 | |
BCBS
| Professional | $21.65 | $32.47 | $36.09 | |
CareSource
| Facility | $25.26 | $25.26 | $25.26 | |
CareSource
| Professional | $15.64 | $15.64 | $24.06 | |
Cigna
| Facility | $16.23 | $21.79 | $44.65 | |
Cigna
| Professional | $10.45 | $21.84 | $34.59 | |
United
| Professional | $10.11 | $14.44 | $24.65 |