| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.50 | $49.50 | $88.44 | |
Aetna
| Professional | $30.00 | $49.50 | $49.50 | |
Anthem BCBS
| Facility | $46.78 | $99.00 | $131.18 | |
Anthem BCBS
| Professional | $37.74 | $44.41 | $63.06 | |
CareSource
| Facility | $49.50 | $49.50 | $66.83 | |
CareSource
| Professional | $49.50 | $49.50 | $56.93 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $22.04 | $48.76 | $99.94 | |
United
| Professional | $43.54 | $49.20 | $52.25 |