| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.51 | $387.68 | $917.01 | |
Aetna
| Professional | $183.90 | $196.32 | $198.81 | |
Anthem BCBS
| Facility | $49.01 | $745.53 | $1,349.16 | |
Anthem BCBS
| Professional | $41.65 | $49.01 | $89.11 | |
CareSource
| Facility | $248.51 | $323.06 | $397.62 | |
CareSource
| Professional | $248.51 | $298.20 | $372.77 | |
Cigna
| Facility | $161.53 | $248.51 | $553.94 | |
Cigna
| Professional | $64.69 | $302.51 | $362.44 | |
United
| Professional | $104.37 | $149.11 | $273.11 |