| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.61 | $32.61 | $38.07 | |
Aetna
| Professional | $16.57 | $22.84 | $32.61 | |
Anthem BCBS
| Facility | $16.89 | $16.89 | $32.61 | |
Anthem BCBS
| Professional | $16.89 | $16.89 | $23.99 | |
CareSource
| Facility | $38.07 | $49.49 | $57.11 | |
CareSource
| Professional | $39.97 | $45.68 | $57.11 | |
Cigna
| Professional | $19.44 | $19.44 | $39.04 | |
United
| Professional | $10.76 | $19.00 | $28.61 |