| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.72 | $28.77 | $156.07 | |
Aetna
| Professional | $27.72 | $28.07 | $35.09 | |
Anthem BCBS
| Facility | $16.76 | $31.58 | $36.88 | |
Anthem BCBS
| Professional | $14.73 | $16.39 | $17.32 | |
CareSource
| Facility | $42.11 | $49.13 | $57.90 | |
CareSource
| Professional | $40.35 | $49.13 | $70.18 | |
Cigna
| Facility | $22.81 | $27.30 | $46.30 | |
Cigna
| Professional | $16.22 | $44.47 | $169.13 | |
United
| Professional | $20.05 | $28.66 | $47.76 |