| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $85.11 | $93.33 | |
Aetna
| Professional | $54.95 | $64.57 | $93.33 | |
Anthem BCBS
| Professional | $60.26 | $100.00 | $144.54 | |
CareSource
| Facility | $63.10 | $69.18 | $85.11 | |
CareSource
| Professional | $63.10 | $63.10 | $63.10 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $67.61 | $87.10 | $144.54 | |
United
| Facility | $58.88 | $58.88 | $58.88 | |
United
| Professional | $63.10 | $81.28 | $114.82 |