| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.48 | $53.02 | $82.44 | |
Anthem BCBS
| Professional | $16.03 | $34.31 | $60.90 | |
CareSource
| Facility | $22.40 | $25.32 | $30.19 | |
CareSource
| Professional | $73.47 | $88.16 | $91.84 | |
Cigna
| Facility | $33.93 | $33.93 | $33.93 | |
Cigna
| Professional | $21.74 | $51.21 | $108.01 | |
United
| Professional | $56.08 | $72.11 | $100.15 |