| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.18 | $148.18 | $148.18 | |
Aetna
| Professional | $100.89 | $148.18 | $148.18 | |
Anthem BCBS
| Professional | $191.58 | $216.48 | $316.68 | |
CareSource
| Facility | $159.24 | $2,388.62 | $11,374.89 | |
CareSource
| Professional | $159.24 | $2,480.48 | $4,377.35 | |
United
| Professional | $147.53 | $200.88 | $303.23 |