| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.15 | $43.09 | $219.54 | |
Aetna
| Professional | $17.86 | $24.62 | $35.15 | |
Anthem BCBS
| Facility | $18.21 | $18.21 | $35.15 | |
Anthem BCBS
| Professional | $18.21 | $18.21 | $25.85 | |
CareSource
| Facility | $41.04 | $53.35 | $61.56 | |
CareSource
| Professional | $43.09 | $49.25 | $61.56 | |
Cigna
| Professional | $20.95 | $20.95 | $42.09 | |
United
| Professional | $11.60 | $20.47 | $30.84 |