| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.11 | $47.43 | $65.68 | |
Aetna
| Professional | $40.11 | $53.47 | $76.06 | |
Anthem BCBS
| Facility | $64.64 | $64.64 | $124.76 | |
Anthem BCBS
| Professional | $51.71 | $64.64 | $87.08 | |
CareSource
| Facility | $58.96 | $75.20 | $95.70 | |
CareSource
| Professional | $68.36 | $75.20 | $88.87 | |
Cigna
| Professional | $56.19 | $62.61 | $176.40 | |
United
| Professional | $49.80 | $66.22 | $91.48 |