| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.77 | $40.35 | $129.47 | |
Aetna
| Professional | $25.97 | $28.77 | $29.83 | |
Anthem BCBS
| Facility | $27.72 | $31.58 | $105.27 | |
Anthem BCBS
| Professional | $16.23 | $19.10 | $25.78 | |
CareSource
| Facility | $35.09 | $45.62 | $56.14 | |
CareSource
| Professional | $35.09 | $42.11 | $52.64 | |
Cigna
| Facility | $22.81 | $35.09 | $78.09 | |
Cigna
| Professional | $25.21 | $42.46 | $50.88 | |
United
| Professional | $14.74 | $21.05 | $38.56 |