| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.66 | $47.00 | $117.24 | |
Aetna
| Professional | $37.50 | $45.23 | $53.25 | |
Anthem BCBS
| Facility | $14.13 | $105.99 | $246.26 | |
Anthem BCBS
| Professional | $14.13 | $14.13 | $19.03 | |
CareSource
| Facility | $35.33 | $45.93 | $56.53 | |
CareSource
| Professional | $22.96 | $37.10 | $47.70 | |
Cigna
| Facility | $22.96 | $66.64 | $137.91 | |
Cigna
| Professional | $17.82 | $40.60 | $50.75 | |
United
| Professional | $17.23 | $24.63 | $40.83 |