| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.09 | $295.93 | $1,419.86 | |
Aetna
| Professional | $23.81 | $36.74 | $45.31 | |
Anthem BCBS
| Facility | $19.07 | $19.07 | $181.00 | |
Anthem BCBS
| Professional | $16.21 | $25.75 | $41.33 | |
CareSource
| Facility | $23.02 | $27.62 | $32.22 | |
CareSource
| Professional | $40.02 | $44.02 | $54.03 | |
Cigna
| Facility | $248.32 | $248.32 | $248.32 | |
Cigna
| Professional | $20.98 | $34.47 | $68.95 | |
United
| Professional | $30.59 | $38.04 | $58.64 |