| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.82 | $127.06 | $228.69 | |
Aetna
| Professional | $50.82 | $50.82 | $50.82 | |
Anthem BCBS
| Facility | $56.12 | $105.88 | $140.29 | |
Anthem BCBS
| Professional | $47.70 | $56.12 | $75.76 | |
CareSource
| Facility | $34.00 | $34.00 | $45.90 | |
CareSource
| Professional | $33.15 | $34.00 | $54.40 | |
Cigna
| Facility | $54.00 | $54.00 | $99.37 | |
Cigna
| Professional | $41.53 | $54.00 | $148.50 | |
United
| Professional | $52.94 | $59.29 | $63.53 |