| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.60 | $54.60 | $61.06 | |
Aetna
| Professional | $24.52 | $34.04 | $54.60 | |
BCBS
| Facility | $40.00 | $40.00 | $40.00 | |
BCBS
| Professional | $35.09 | $46.79 | $52.64 | |
CareSource
| Facility | $35.09 | $35.09 | $42.11 | |
CareSource
| Professional | $22.81 | $22.81 | $35.09 | |
Cigna
| Facility | $16.51 | $26.46 | $90.92 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
United
| Professional | $14.74 | $24.07 | $55.13 |