| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.96 | $310.02 | $596.22 | |
Aetna
| Professional | $117.68 | $122.15 | $158.99 | |
Anthem BCBS
| Facility | $157.00 | $177.87 | $596.22 | |
Anthem BCBS
| Professional | $38.90 | $45.77 | $86.09 | |
CareSource
| Facility | $198.74 | $258.36 | $317.98 | |
CareSource
| Professional | $198.74 | $238.49 | $298.11 | |
Cigna
| Facility | $129.18 | $148.96 | $375.37 | |
Cigna
| Professional | $60.42 | $228.39 | $290.05 | |
United
| Professional | $62.56 | $89.38 | $163.71 |