| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.00 | $81.00 | $81.00 | |
Anthem BCBS
| Facility | $41.07 | $41.07 | $79.27 | |
Anthem BCBS
| Professional | $37.15 | $41.07 | $56.67 | |
CareSource
| Facility | $64.41 | $64.41 | $83.49 | |
CareSource
| Professional | $64.41 | $77.29 | $96.61 | |
Cigna
| Professional | $54.21 | $54.21 | $54.21 |