| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.56 | $852.72 | $1,115.67 | |
Aetna
| Professional | $200.66 | $208.56 | $241.25 | |
Anthem BCBS
| Professional | $145.44 | $177.80 | $287.07 | |
CareSource
| Facility | $193.60 | $265.72 | $313.17 | |
CareSource
| Professional | $197.22 | $256.23 | $313.17 | |
Cigna
| Facility | $82.95 | $256.87 | $256.87 | |
Cigna
| Professional | $176.87 | $263.95 | $1,043.05 | |
Molina
| Professional | $63.19 | $66.34 | $85.30 | |
United
| Professional | $123.32 | $246.27 | $378.00 |