| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.48 | $46.48 | $93.91 | |
Aetna
| Professional | $44.70 | $48.27 | $50.44 | |
Anthem BCBS
| Facility | $74.19 | $84.05 | $93.91 | |
Anthem BCBS
| Professional | $27.49 | $50.86 | $68.66 | |
CareSource
| Facility | $70.81 | $103.30 | $140.87 | |
CareSource
| Professional | $79.81 | $103.30 | $126.78 | |
Cigna
| Facility | $58.60 | $58.60 | $93.91 | |
Cigna
| Professional | $42.78 | $58.60 | $96.34 | |
United
| Professional | $27.91 | $45.35 | $63.52 |