| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.13 | $24.68 | $322.56 | |
Aetna
| Professional | $10.22 | $14.10 | $20.13 | |
Anthem BCBS
| Facility | $10.43 | $10.43 | $20.13 | |
Anthem BCBS
| Professional | $10.43 | $10.43 | $14.81 | |
CareSource
| Facility | $23.50 | $30.55 | $35.25 | |
CareSource
| Professional | $24.68 | $28.20 | $35.25 | |
Cigna
| Professional | $12.00 | $12.00 | $24.11 | |
United
| Professional | $6.64 | $11.72 | $16.82 |