| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $21.88 | $30.20 | |
Aetna
| Professional | $21.88 | $28.84 | $37.15 | |
Anthem BCBS
| Professional | $16.22 | $24.55 | $40.74 | |
CareSource
| Facility | $23.44 | $24.55 | $27.54 | |
CareSource
| Professional | $20.89 | $20.89 | $20.89 | |
Cigna
| Professional | $24.55 | $33.88 | $52.48 | |
United
| Professional | $22.91 | $31.62 | $50.12 |