| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.71 | $405.80 | $5,634.00 | |
Aetna
| Professional | $103.71 | $139.84 | $159.21 | |
Anthem BCBS
| Facility | $141.16 | $141.16 | $272.45 | |
Anthem BCBS
| Professional | $119.63 | $143.59 | $211.75 | |
CareSource
| Facility | $100.68 | $146.65 | $207.36 | |
CareSource
| Professional | $151.58 | $181.90 | $217.73 | |
Cigna
| Professional | $128.58 | $171.81 | $255.27 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 | |
United
| Professional | $128.84 | $170.89 | $273.75 |