| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.82 | $50.82 | $108.00 | |
Aetna
| Professional | $50.82 | $50.82 | $52.73 | |
Anthem BCBS
| Facility | $62.47 | $66.18 | $105.88 | |
Anthem BCBS
| Professional | $47.70 | $56.12 | $56.12 | |
CareSource
| Facility | $32.34 | $38.81 | $64.68 | |
CareSource
| Professional | $27.49 | $32.34 | $61.73 | |
Cigna
| Facility | $54.00 | $54.00 | $85.00 | |
Cigna
| Professional | $35.77 | $54.00 | $80.68 | |
United
| Professional | $52.94 | $52.94 | $59.29 |