| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.64 | $69.64 | $119.94 | |
Aetna
| Professional | $64.04 | $69.64 | $87.96 | |
Anthem BCBS
| Facility | $94.75 | $107.35 | $119.94 | |
Anthem BCBS
| Professional | $95.51 | $119.07 | $160.41 | |
CareSource
| Facility | $101.95 | $141.29 | $179.91 | |
CareSource
| Professional | $101.95 | $131.93 | $161.91 | |
Cigna
| Facility | $119.94 | $133.72 | $133.72 | |
Cigna
| Professional | $97.62 | $133.72 | $160.50 | |
United
| Professional | $65.12 | $97.68 | $140.13 |