| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.67 | $65.67 | $65.67 | |
Aetna
| Professional | $65.67 | $65.67 | $82.74 | |
Anthem BCBS
| Facility | $74.78 | $77.90 | $129.02 | |
Anthem BCBS
| Professional | $56.15 | $66.06 | $66.06 | |
CareSource
| Facility | $99.09 | $109.00 | $178.36 | |
CareSource
| Professional | $73.40 | $99.42 | $139.19 | |
Cigna
| Facility | $65.67 | $72.25 | $72.25 | |
Cigna
| Professional | $56.01 | $72.25 | $98.12 | |
United
| Professional | $73.40 | $77.26 | $86.61 |