| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.90 | $32.90 | $53.86 | |
Aetna
| Professional | $28.77 | $32.90 | $40.00 | |
Anthem BCBS
| Facility | $42.55 | $48.20 | $53.86 | |
Anthem BCBS
| Professional | $29.58 | $54.36 | $73.23 | |
CareSource
| Facility | $45.78 | $63.45 | $80.79 | |
CareSource
| Professional | $45.78 | $59.25 | $72.70 | |
Cigna
| Facility | $53.86 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $83.55 | |
United
| Professional | $30.04 | $49.97 | $67.53 |