| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.59 | $40.46 | $199.15 | |
Aetna
| Professional | $30.93 | $35.39 | $49.29 | |
Anthem BCBS
| Professional | $31.68 | $41.02 | $54.09 | |
CareSource
| Facility | $30.34 | $44.14 | $47.00 | |
CareSource
| Professional | $31.04 | $39.51 | $48.92 | |
Cigna
| Facility | $52.96 | $52.96 | $52.96 | |
Cigna
| Professional | $31.50 | $42.83 | $80.43 | |
United
| Professional | $36.38 | $42.38 | $70.16 |