| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.45 | $250.18 | $314.61 | |
Aetna
| Professional | $19.50 | $31.00 | $189.23 | |
Anthem BCBS
| Professional | $99.51 | $117.08 | $131.12 | |
CareSource
| Facility | $31.93 | $483.82 | $811.35 | |
Cigna
| Facility | $37.28 | $111.40 | $467.61 | |
Cigna
| Professional | $24.04 | $32.45 | $239.89 | |
United
| Facility | $231.98 | $231.98 | $235.69 | |
United
| Professional | $164.76 | $194.16 | $329.95 |