| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Aetna
| Professional | $28.18 | $38.02 | $57.54 | |
Anthem BCBS
| Professional | $50.12 | $74.13 | $114.82 | |
CareSource
| Facility | $44.67 | $44.67 | $50.12 | |
Cigna
| Facility | $48.98 | $56.23 | $93.33 | |
Cigna
| Professional | $42.66 | $54.95 | $97.72 | |
United
| Professional | $44.67 | $54.95 | $79.43 |