| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.59 | $65.59 | $97.00 | |
Aetna
| Professional | $59.82 | $66.87 | $91.50 | |
Anthem BCBS
| Professional | $32.79 | $40.00 | $64.80 | |
CareSource
| Facility | $50.69 | $70.97 | $78.51 | |
CareSource
| Professional | $50.69 | $64.51 | $79.87 | |
Cigna
| Facility | $77.00 | $77.00 | $77.00 | |
Cigna
| Professional | $55.91 | $81.58 | $143.41 | |
United
| Professional | $60.00 | $79.03 | $145.16 |