| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.22 | $63.22 | $63.22 | |
Aetna
| Professional | $50.58 | $63.22 | $71.97 | |
Anthem BCBS
| Facility | $80.72 | $91.45 | $102.18 | |
Anthem BCBS
| Professional | $48.77 | $51.40 | $70.93 | |
CareSource
| Facility | $77.03 | $112.40 | $153.27 | |
CareSource
| Professional | $86.85 | $112.40 | $137.94 | |
Cigna
| Professional | $43.91 | $43.91 | $107.51 | |
United
| Professional | $30.42 | $48.85 | $71.58 |