| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.26 | $30.26 | $35.32 | |
Aetna
| Professional | $18.01 | $22.42 | $30.26 | |
Anthem BCBS
| Facility | $15.93 | $15.93 | $30.74 | |
Anthem BCBS
| Professional | $15.93 | $15.93 | $21.98 | |
CareSource
| Facility | $26.49 | $38.85 | $52.98 | |
CareSource
| Professional | $30.02 | $38.85 | $47.68 | |
Cigna
| Facility | $12.60 | $21.22 | $21.22 | |
Cigna
| Professional | $18.04 | $21.22 | $36.22 | |
United
| Professional | $9.98 | $16.89 | $23.36 |