| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.48 | $176.16 | $232.40 | |
Aetna
| Professional | $92.96 | $107.48 | $156.47 | |
Anthem BCBS
| Facility | $329.00 | $329.00 | $634.97 | |
Anthem BCBS
| Professional | $263.20 | $329.00 | $523.11 | |
CareSource
| Facility | $483.90 | $7,258.52 | $12,198.60 | |
CareSource
| Professional | $474.39 | $474.39 | $677.70 | |
United
| Professional | $158.77 | $185.21 | $334.66 |