| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.90 | $144.77 | $260.55 | |
Aetna
| Professional | $57.90 | $57.90 | $61.52 | |
Anthem BCBS
| Facility | $69.37 | $120.64 | $195.39 | |
Anthem BCBS
| Professional | $80.98 | $101.24 | $136.38 | |
CareSource
| Facility | $51.00 | $61.20 | $106.30 | |
CareSource
| Professional | $51.00 | $56.10 | $76.72 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $88.91 | |
United
| Professional | $60.32 | $60.32 | $66.34 |