| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.77 | $40.35 | $115.80 | |
Aetna
| Professional | $25.97 | $28.77 | $33.52 | |
Anthem BCBS
| Facility | $27.72 | $31.58 | $105.27 | |
Anthem BCBS
| Professional | $16.39 | $17.32 | $23.39 | |
CareSource
| Facility | $35.09 | $42.11 | $49.13 | |
CareSource
| Professional | $35.09 | $38.60 | $49.13 | |
Cigna
| Facility | $28.16 | $35.09 | $90.56 | |
Cigna
| Professional | $18.45 | $18.45 | $42.97 | |
United
| Professional | $14.74 | $21.05 | $38.60 |