| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.01 | $40.01 | $40.01 | |
Aetna
| Professional | $21.81 | $29.74 | $40.01 | |
Anthem BCBS
| Facility | $46.32 | $46.32 | $89.40 | |
Anthem BCBS
| Professional | $37.04 | $46.32 | $63.92 | |
CareSource
| Facility | $47.91 | $70.73 | $84.63 | |
CareSource
| Professional | $47.91 | $66.50 | $83.68 | |
Cigna
| Professional | $30.86 | $30.86 | $61.14 | |
United
| Professional | $21.36 | $30.16 | $45.43 |