| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $30.90 | $45.71 | $57.54 | |
Anthem BCBS
| Facility | $51.29 | $51.29 | $100.00 | |
Anthem BCBS
| Professional | $42.66 | $52.48 | $79.43 | |
CareSource
| Facility | $64.57 | $107.15 | $144.54 | |
Cigna
| Facility | $30.20 | $30.20 | $51.29 | |
Cigna
| Professional | $43.65 | $43.65 | $70.79 | |
United
| Professional | $23.99 | $40.74 | $61.66 |