| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $38.90 | $93.33 | |
Aetna
| Professional | $15.85 | $19.95 | $22.91 | |
Anthem BCBS
| Facility | $25.12 | $25.12 | $75.86 | |
Anthem BCBS
| Professional | $25.12 | $38.02 | $52.48 | |
CareSource
| Facility | $24.55 | $32.36 | $549.54 | |
Cigna
| Facility | $25.12 | $25.12 | $25.12 | |
Cigna
| Professional | $30.90 | $38.02 | $38.02 | |
United
| Facility | $25.12 | $25.12 | $25.12 | |
United
| Professional | $10.47 | $15.14 | $23.44 |