| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $245.47 | $575.44 | |
Aetna
| Professional | $100.00 | $128.82 | $147.91 | |
Anthem BCBS
| Facility | $158.49 | $158.49 | $467.74 | |
Anthem BCBS
| Professional | $11.22 | $13.18 | $28.18 | |
CareSource
| Facility | $151.36 | $2,290.87 | $3,388.44 | |
Cigna
| Facility | $102.33 | $102.33 | $616.60 | |
Cigna
| Professional | $17.38 | $190.55 | $467.74 | |
United
| Facility | $158.49 | $158.49 | $158.49 | |
United
| Professional | $66.07 | $93.33 | $158.49 |