| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.69 | $104.69 | $104.69 | |
Aetna
| Professional | $102.23 | $104.69 | $104.69 | |
Anthem BCBS
| Professional | $37.97 | $50.63 | $50.63 | |
CareSource
| Facility | $86.31 | $86.31 | $111.88 | |
CareSource
| Professional | $86.31 | $103.57 | $129.46 | |
Cigna
| Professional | $62.16 | $62.16 | $62.16 |