| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.58 | $201.58 | $201.58 | |
Aetna
| Professional | $174.08 | $272.80 | $309.57 | |
Anthem BCBS
| Facility | $310.23 | $310.23 | $1,234.81 | |
Anthem BCBS
| Professional | $285.86 | $310.23 | $440.52 | |
CareSource
| Facility | $289.31 | $3,422.70 | $7,292.70 | |
Cigna
| Facility | $87.34 | $87.34 | $334.42 | |
Cigna
| Professional | $0.66 | $0.66 | $559.19 | |
United
| Professional | $280.00 | $331.72 | $582.04 |