| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.91 | $155.57 | $5,634.00 | |
Aetna
| Professional | $82.98 | $127.71 | $164.68 | |
Anthem BCBS
| Facility | $131.52 | $131.52 | $253.83 | |
Anthem BCBS
| Professional | $86.28 | $131.52 | $177.55 | |
CareSource
| Facility | $81.54 | $117.41 | $172.67 | |
CareSource
| Professional | $127.87 | $158.31 | $219.21 | |
Cigna
| Professional | $97.95 | $155.50 | $319.89 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 | |
United
| Professional | $136.28 | $176.66 | $277.83 |