| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.34 | $91.00 | $210.87 | |
Aetna
| Professional | $51.00 | $73.48 | $80.00 | |
Anthem BCBS
| Facility | $19.78 | $210.87 | $399.68 | |
Anthem BCBS
| Professional | $19.78 | $21.75 | $28.12 | |
CareSource
| Facility | $70.29 | $94.89 | $112.46 | |
CareSource
| Professional | $70.29 | $77.31 | $99.64 | |
Cigna
| Facility | $45.69 | $114.23 | $171.34 | |
Cigna
| Professional | $41.21 | $80.78 | $102.59 | |
United
| Professional | $32.45 | $45.08 | $74.09 |