| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.89 | $100.89 | $100.89 | |
Aetna
| Professional | $88.35 | $100.89 | $140.74 | |
Anthem BCBS
| Facility | $86.74 | $86.74 | $167.41 | |
Anthem BCBS
| Professional | $59.19 | $86.74 | $129.60 | |
CareSource
| Facility | $151.05 | $2,322.16 | $43,749.56 | |
Cigna
| Professional | $32.11 | $37.78 | $37.78 | |
United
| Professional | $140.66 | $187.44 | $310.62 |