| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $1,380.38 | $5,623.41 | |
Aetna
| Professional | $89.13 | $144.54 | $229.09 | |
Anthem BCBS
| Facility | $131.83 | $131.83 | $251.19 | |
Anthem BCBS
| Professional | $87.10 | $131.83 | $204.17 | |
CareSource
| Facility | $81.28 | $89.13 | $95.50 | |
Cigna
| Facility | $93.33 | $151.36 | $229.09 | |
Cigna
| Professional | $97.72 | $151.36 | $323.59 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 | |
United
| Professional | $89.13 | $151.36 | $269.15 |