| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.32 | $58.83 | $153.94 | |
Aetna
| Professional | $45.22 | $45.23 | $83.67 | |
Anthem BCBS
| Facility | $14.13 | $14.13 | $14.13 | |
Anthem BCBS
| Professional | $12.71 | $14.13 | $15.54 | |
CareSource
| Facility | $35.33 | $47.70 | $65.36 | |
CareSource
| Professional | $35.33 | $43.29 | $70.66 | |
Cigna
| Facility | $22.96 | $26.96 | $45.23 | |
Cigna
| Professional | $17.82 | $45.23 | $170.29 | |
Molina
| Professional | $15.82 | $26.37 | $26.37 | |
United
| Professional | $14.84 | $24.30 | $45.23 |