| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.02 | $47.02 | $54.89 | |
Aetna
| Professional | $23.89 | $32.93 | $47.02 | |
Anthem BCBS
| Facility | $23.57 | $23.57 | $45.49 | |
Anthem BCBS
| Professional | $23.57 | $23.57 | $33.46 | |
CareSource
| Facility | $54.89 | $71.36 | $82.34 | |
CareSource
| Professional | $57.63 | $65.87 | $82.34 | |
Cigna
| Professional | $28.02 | $28.02 | $56.31 | |
United
| Professional | $15.52 | $27.38 | $39.28 |