| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.50 | $49.50 | $70.19 | |
Aetna
| Professional | $22.29 | $49.50 | $54.45 | |
Anthem BCBS
| Facility | $37.54 | $39.11 | $99.00 | |
Anthem BCBS
| Professional | $37.74 | $44.41 | $44.41 | |
CareSource
| Facility | $49.50 | $54.45 | $79.20 | |
CareSource
| Professional | $49.50 | $51.98 | $69.30 | |
Cigna
| Facility | $48.76 | $48.76 | $70.00 | |
Cigna
| Professional | $22.29 | $48.76 | $49.26 | |
United
| Professional | $41.16 | $50.07 | $52.10 |