| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $19.05 | $28.18 | $37.15 | |
Anthem BCBS
| Facility | $17.38 | $17.38 | $33.88 | |
Anthem BCBS
| Professional | $17.38 | $23.44 | $38.02 | |
CareSource
| Facility | $42.66 | $54.95 | $64.57 | |
Cigna
| Professional | $17.38 | $17.38 | $28.18 | |
United
| Professional | $12.02 | $20.42 | $29.51 |