| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.57 | $49.57 | $100.16 | |
Aetna
| Professional | $47.67 | $49.57 | $53.80 | |
Anthem BCBS
| Facility | $79.13 | $89.64 | $100.16 | |
Anthem BCBS
| Professional | $47.03 | $57.81 | $79.77 | |
CareSource
| Facility | $75.12 | $110.18 | $140.22 | |
CareSource
| Professional | $85.14 | $110.18 | $135.22 | |
Cigna
| Facility | $53.85 | $53.85 | $100.16 | |
Cigna
| Professional | $39.31 | $53.85 | $102.74 | |
United
| Professional | $28.66 | $47.87 | $68.97 |