| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.77 | $30.78 | $43.97 | |
Anthem BCBS
| Professional | $19.80 | $24.96 | $24.96 | |
CareSource
| Facility | $59.36 | $61.56 | $72.55 | |
CareSource
| Professional | $50.57 | $61.56 | $87.94 | |
Cigna
| Facility | $52.76 | $52.76 | $52.76 | |
Cigna
| Professional | $20.97 | $23.12 | $64.23 | |
United
| Professional | $17.91 | $26.38 | $43.97 |