| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.92 | $64.92 | $64.92 | |
Aetna
| Professional | $53.46 | $62.55 | $76.13 | |
Anthem BCBS
| Professional | $63.07 | $89.42 | $141.72 | |
CareSource
| Facility | $57.26 | $68.58 | $84.21 | |
CareSource
| Professional | $65.69 | $65.69 | $70.73 | |
Cigna
| Facility | $83.52 | $83.52 | $83.52 | |
Cigna
| Professional | $69.59 | $86.48 | $134.74 | |
United
| Professional | $64.62 | $81.03 | $110.28 |