| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.64 | $32.64 | $65.94 | |
Aetna
| Professional | $26.36 | $32.64 | $35.42 | |
Anthem BCBS
| Facility | $52.09 | $59.02 | $65.94 | |
Anthem BCBS
| Professional | $28.96 | $30.13 | $41.57 | |
CareSource
| Facility | $42.86 | $69.23 | $92.32 | |
CareSource
| Professional | $56.05 | $72.53 | $89.02 | |
Cigna
| Facility | $30.91 | $30.91 | $65.94 | |
Cigna
| Professional | $22.56 | $30.91 | $64.04 | |
United
| Professional | $16.45 | $30.42 | $43.61 |