| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.59 | $343.29 | $422.24 | |
Aetna
| Professional | $77.81 | $93.83 | $114.43 | |
Anthem BCBS
| Facility | $31.92 | $343.29 | $621.24 | |
Anthem BCBS
| Professional | $27.13 | $31.92 | $68.54 | |
CareSource
| Facility | $114.43 | $143.04 | $2,524.04 | |
CareSource
| Professional | $114.43 | $125.87 | $154.47 | |
Cigna
| Facility | $74.38 | $216.42 | $445.67 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Professional | $48.06 | $68.66 | $106.90 |