| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $1,000.00 | $2,041.74 | |
Aetna
| Professional | $77.62 | $131.83 | $218.78 | |
BCBS
| Facility | $870.96 | $870.96 | $1,174.90 | |
BCBS
| Professional | $89.13 | $117.49 | $199.53 | |
CareSource
| Facility | $102.33 | $102.33 | $309.03 | |
CareSource
| Professional | $154.88 | $154.88 | $154.88 | |
Cigna
| Professional | $95.50 | $158.49 | $269.15 | |
United
| Facility | $331.13 | $954.99 | $2,511.89 | |
United
| Professional | $81.28 | $147.91 | $251.19 |