| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.66 | $231.16 | $887.05 | |
Aetna
| Professional | $78.02 | $84.45 | $142.07 | |
Anthem BCBS
| Facility | $66.34 | $350.00 | $350.00 | |
Anthem BCBS
| Professional | $96.96 | $170.72 | $273.14 | |
CareSource
| Facility | $38.69 | $56.36 | $109.58 | |
CareSource
| Professional | $37.75 | $52.02 | $103.08 | |
Cigna
| Facility | $97.68 | $350.00 | $350.00 | |
Cigna
| Professional | $84.38 | $118.94 | $332.23 | |
United
| Professional | $79.45 | $96.17 | $164.06 |