| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $309.03 | $741.31 | |
Aetna
| Professional | $128.82 | $162.18 | $190.55 | |
Anthem BCBS
| Facility | $199.53 | $199.53 | $602.56 | |
Anthem BCBS
| Professional | $8.91 | $11.22 | $19.95 | |
CareSource
| Facility | $194.98 | $2,884.03 | $4,365.16 | |
Cigna
| Facility | $128.82 | $128.82 | $776.25 | |
Cigna
| Professional | $12.59 | $245.47 | $602.56 | |
United
| Facility | $199.53 | $199.53 | $199.53 | |
United
| Professional | $83.18 | $120.23 | $199.53 |