| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.08 | $824.00 | $5,634.00 | |
Aetna
| Professional | $74.44 | $93.65 | $115.07 | |
Anthem BCBS
| Facility | $71.55 | $71.55 | $138.09 | |
Anthem BCBS
| Professional | $60.81 | $81.38 | $115.57 | |
CareSource
| Facility | $76.56 | $111.51 | $146.99 | |
CareSource
| Professional | $107.85 | $129.41 | $154.34 | |
Cigna
| Professional | $78.50 | $111.52 | $176.11 | |
United
| Facility | $600.00 | $2,291.00 | $4,426.00 | |
United
| Professional | $91.46 | $118.89 | $190.76 |