| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.50 | $75.34 | $86.66 | |
Aetna
| Professional | $20.93 | $26.49 | $30.94 | |
Anthem BCBS
| Professional | $13.08 | $13.08 | $30.01 | |
CareSource
| Facility | $29.14 | $37.09 | $43.71 | |
CareSource
| Professional | $26.49 | $34.44 | $43.71 | |
Cigna
| Facility | $61.77 | $61.77 | $61.77 | |
Cigna
| Professional | $13.93 | $19.87 | $50.23 | |
United
| Professional | $15.66 | $15.89 | $32.64 |