| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $54.95 | $77.62 | $95.50 | |
Anthem BCBS
| Professional | $15.85 | $35.48 | $35.48 | |
CareSource
| Facility | $51.29 | $51.29 | $64.57 | |
CareSource
| Professional | $56.23 | $56.23 | $66.07 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 |