| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.31 | $47.80 | $65,688.06 | |
Aetna
| Professional | $45.31 | $45.31 | $57.09 | |
Anthem BCBS
| Facility | $51.30 | $53.44 | $90.62 | |
Anthem BCBS
| Professional | $38.51 | $45.31 | $45.31 | |
CareSource
| Facility | $45.31 | $49.84 | $72.50 | |
CareSource
| Professional | $45.31 | $47.58 | $69.78 | |
Cigna
| Facility | $45.31 | $45.31 | $89.05 | |
Cigna
| Professional | $39.92 | $45.31 | $85.04 | |
United
| Professional | $45.31 | $45.31 | $50.75 |