| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.70 | $56.09 | $69.70 | |
Aetna
| Professional | $47.70 | $58.46 | $83.66 | |
Aetna
| Professional | 25 | $14.48 | $14.48 | $14.48 |
Anthem BCBS
| Professional | $46.50 | $54.94 | $68.65 | |
CareSource
| Facility | $67.80 | $84.56 | $109.18 | |
CareSource
| Professional | $66.70 | $81.89 | $112.60 | |
Cigna
| Facility | $84.29 | $84.29 | $84.29 | |
Cigna
| Professional | $59.99 | $116.01 | $346.12 | |
United
| Professional | $53.84 | $61.13 | $96.81 |