| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $3,801.89 | $5,623.41 | |
Aetna
| Professional | $41.69 | $66.07 | $194.98 | |
Anthem BCBS
| Facility | $60.26 | $60.26 | $114.82 | |
Anthem BCBS
| Professional | $47.86 | $77.62 | $131.83 | |
CareSource
| Facility | $50.12 | $50.12 | $50.12 | |
Cigna
| Facility | $56.23 | $81.28 | $123.03 | |
Cigna
| Professional | $48.98 | $74.13 | $107.15 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 | |
United
| Professional | $42.66 | $67.61 | $112.20 |