| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.00 | $326.00 | $738.00 | |
Aetna
| Professional | $128.00 | $164.00 | $168.00 | |
Anthem BCBS
| Facility | $9.50 | $600.00 | $1,085.80 | |
Anthem BCBS
| Professional | $8.07 | $9.50 | $13.28 | |
CareSource
| Facility | $200.00 | $260.00 | $320.00 | |
CareSource
| Professional | $200.00 | $240.00 | $300.00 | |
Cigna
| Facility | $130.00 | $377.81 | $780.24 | |
Cigna
| Professional | $12.54 | $243.41 | $291.63 | |
United
| Professional | $84.00 | $120.00 | $219.80 |