| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.88 | $71.54 | $95.39 | |
Aetna
| Professional | $51.88 | $70.76 | $108.68 | |
Anthem BCBS
| Professional | $53.95 | $65.91 | $88.11 | |
CareSource
| Facility | $63.06 | $89.03 | $118.70 | |
CareSource
| Professional | $67.48 | $92.74 | $148.38 | |
Cigna
| Facility | $91.25 | $91.25 | $91.25 | |
Cigna
| Professional | $77.69 | $154.13 | $374.18 | |
United
| Professional | $72.81 | $81.20 | $121.28 |