| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.77 | $119.26 | $331.03 | |
Aetna
| Professional | $45.31 | $45.77 | $45.77 | |
Anthem BCBS
| Facility | $45.31 | $90.62 | $120.07 | |
Anthem BCBS
| Professional | $38.51 | $45.31 | $64.34 | |
CareSource
| Facility | $45.31 | $45.31 | $61.17 | |
CareSource
| Professional | $45.31 | $45.31 | $52.11 | |
Cigna
| Facility | $45.31 | $45.31 | $120.13 | |
Cigna
| Professional | $45.31 | $45.31 | $136.65 | |
United
| Professional | $45.31 | $50.75 | $77.03 |