| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.25 | $33.06 | $408.14 | |
Aetna
| Professional | $17.25 | $21.15 | $456.93 | |
Anthem BCBS
| Facility | $17.30 | $17.30 | $33.40 | |
Anthem BCBS
| Professional | $14.71 | $47.80 | $115.88 | |
CareSource
| Facility | $14.88 | $21.67 | $524.10 | |
CareSource
| Professional | $367.10 | $440.52 | $550.29 | |
Cigna
| Facility | $33.06 | $33.06 | $33.06 | |
Cigna
| Professional | $17.16 | $39.60 | $548.73 | |
United
| Professional | $64.56 | $256.10 | $301.29 |