| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $278.98 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
BCBS
| Professional | $32.65 | $40.81 | $43.21 | |
CareSource
| Facility | $47.55 | $49.45 | $57.06 | |
CareSource
| Professional | $39.94 | $47.55 | $88.19 | |
Cigna
| Professional | $14.68 | $14.68 | $14.68 | |
United
| Professional | $14.77 | $22.16 | $35.08 |