| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.36 | $28.36 | $28.36 | |
Aetna
| Professional | $28.36 | $28.36 | $28.36 | |
Anthem BCBS
| Professional | $21.25 | $25.00 | $25.00 | |
CareSource
| Facility | $24.00 | $24.00 | $24.00 | |
Cigna
| Facility | $12.60 | $12.60 | $12.60 | |
Cigna
| Professional | $10.71 | $10.71 | $12.60 | |
United
| Professional | $8.83 | $14.35 | $22.08 |