| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $37.15 | $54.95 | |
Aetna
| Professional | $19.05 | $23.99 | $36.31 | |
BCBS
| Facility | $33.11 | $33.11 | $45.71 | |
BCBS
| Professional | $29.51 | $43.65 | $43.65 | |
CareSource
| Facility | $23.44 | $29.51 | $40.74 | |
CareSource
| Professional | $19.05 | $19.05 | $29.51 | |
Cigna
| Facility | $19.05 | $25.12 | $53.70 | |
Cigna
| Professional | $13.18 | $25.70 | $43.65 | |
United
| Facility | $26.30 | $26.30 | $29.51 | |
United
| Professional | $12.30 | $17.38 | $30.90 |