| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.05 | $17.03 | $20.43 | |
BCBS
| Facility | $23.60 | $23.60 | $23.60 | |
BCBS
| Professional | $30.05 | $30.47 | $30.47 | |
CareSource
| Facility | $22.79 | $32.24 | $34.19 | |
CareSource
| Professional | $21.01 | $26.38 | $34.67 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $12.86 | $25.34 | $38.04 | |
United
| Facility | $24.58 | $24.58 | $24.58 | |
United
| Professional | $19.82 | $23.38 | $34.78 |