| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $58.94 | $100.51 | |
Aetna
| Professional | $17.75 | $30.57 | $35.15 | |
Anthem BCBS
| Facility | $34.81 | $36.26 | $60.20 | |
Anthem BCBS
| Professional | $26.13 | $30.75 | $30.75 | |
CareSource
| Facility | $46.13 | $59.97 | $92.26 | |
CareSource
| Professional | $34.17 | $46.13 | $64.06 | |
Cigna
| Facility | $33.71 | $33.71 | $85.00 | |
Cigna
| Professional | $28.13 | $33.71 | $45.68 | |
United
| Professional | $34.17 | $35.97 | $40.32 |