| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $72.44 | $109.65 | |
Aetna
| Professional | $41.69 | $53.70 | $70.79 | |
Anthem BCBS
| Professional | $46.77 | $57.54 | $91.20 | |
CareSource
| Facility | $40.74 | $42.66 | $70.79 | |
CareSource
| Professional | $51.29 | $63.10 | $81.28 | |
Cigna
| Facility | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $51.29 | $79.43 | $316.23 | |
United
| Professional | $50.12 | $66.07 | $100.00 |