| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $63.10 | $63.10 | |
Aetna
| Professional | $58.88 | $67.61 | $83.18 | |
Anthem BCBS
| Professional | $33.11 | $40.74 | $66.07 | |
CareSource
| Facility | $57.54 | $61.66 | $63.10 | |
Cigna
| Facility | $64.57 | $87.10 | $120.23 | |
Cigna
| Professional | $66.07 | $83.18 | $134.90 | |
United
| Professional | $58.88 | $75.86 | $120.23 |