| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $15.85 | $20.89 | |
BCBS
| Facility | $22.91 | $22.91 | $31.62 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
CareSource
| Facility | $20.89 | $33.88 | $36.31 | |
CareSource
| Professional | $19.95 | $23.99 | $33.11 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $13.18 | $24.55 | $38.02 | |
United
| Facility | $18.20 | $18.20 | $18.20 | |
United
| Professional | $17.78 | $21.38 | $33.11 |