| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.26 | $15.61 | $19.53 | |
BCBS
| Facility | $22.85 | $22.85 | $22.85 | |
BCBS
| Professional | $28.69 | $29.11 | $29.11 | |
CareSource
| Facility | $22.09 | $31.25 | $33.13 | |
CareSource
| Professional | $20.07 | $25.20 | $33.13 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $9.27 | $24.22 | $50.91 | |
United
| Professional | $18.95 | $22.35 | $33.22 |