| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.02 | $42.89 | $94.01 | |
Aetna
| Professional | $14.40 | $27.15 | $49.49 | |
BCBS
| Facility | $48.71 | $48.71 | $63.32 | |
BCBS
| Professional | $62.57 | $62.57 | $62.57 | |
CareSource
| Facility | $43.32 | $45.83 | $47.65 | |
Cigna
| Facility | $65.00 | $70.00 | $85.00 | |
Cigna
| Professional | $31.20 | $70.00 | $114.99 | |
United
| Professional | $31.58 | $42.95 | $48.00 |