| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.50 | $44.61 | $65.33 | |
Aetna
| Professional | $34.54 | $44.68 | $59.51 | |
Anthem BCBS
| Facility | $34.85 | $34.85 | $67.26 | |
Anthem BCBS
| Professional | $28.22 | $38.86 | $55.83 | |
CareSource
| Facility | $34.10 | $36.08 | $40.11 | |
Cigna
| Facility | $57.14 | $57.14 | $57.14 | |
Cigna
| Professional | $39.46 | $58.16 | $92.62 | |
United
| Professional | $41.52 | $54.63 | $91.35 |