| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.97 | $27.97 | $27.97 | |
Aetna
| Professional | $24.23 | $28.49 | $34.15 | |
Anthem BCBS
| Facility | $19.20 | $19.20 | $37.06 | |
Anthem BCBS
| Professional | $15.36 | $19.20 | $27.26 | |
CareSource
| Facility | $25.43 | $37.01 | $39.89 | |
CareSource
| Professional | $27.85 | $34.19 | $40.88 | |
Cigna
| Facility | $30.90 | $30.90 | $35.79 | |
Cigna
| Professional | $19.57 | $33.54 | $67.66 | |
United
| Professional | $22.40 | $28.57 | $42.33 |