| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.40 | $56.40 | $56.40 | |
Aetna
| Professional | $30.74 | $41.93 | $56.40 | |
Anthem BCBS
| Facility | $51.39 | $51.39 | $99.18 | |
Anthem BCBS
| Professional | $42.67 | $51.39 | $70.91 | |
CareSource
| Facility | $65.70 | $96.63 | $119.25 | |
CareSource
| Professional | $67.64 | $93.70 | $117.91 | |
Cigna
| Professional | $43.49 | $43.49 | $70.41 | |
United
| Professional | $24.08 | $42.49 | $64.01 |