| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.60 | $70.06 | $86.47 | |
Aetna
| Professional | $60.50 | $69.83 | $81.87 | |
Anthem BCBS
| Facility | $21.80 | $21.80 | $68.47 | |
Anthem BCBS
| Professional | $21.80 | $29.76 | $63.12 | |
CareSource
| Facility | $56.49 | $66.76 | $77.03 | |
CareSource
| Professional | $64.02 | $74.61 | $89.11 | |
Cigna
| Professional | $74.66 | $90.00 | $118.53 | |
United
| Professional | $70.48 | $87.31 | $119.78 |