| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $123.03 | $295.12 | |
Aetna
| Professional | $81.28 | $100.00 | $144.54 | |
Anthem BCBS
| Facility | $102.33 | $123.03 | $128.82 | |
Anthem BCBS
| Professional | $60.26 | $60.26 | $60.26 | |
CareSource
| Facility | $123.03 | $169.82 | $234.42 | |
CareSource
| Professional | $131.83 | $158.49 | $199.53 | |
Cigna
| Facility | $79.43 | $239.88 | $239.88 | |
Cigna
| Professional | $61.66 | $165.96 | $588.84 | |
United
| Facility | $91.20 | $91.20 | $91.20 | |
United
| Professional | $52.48 | $91.20 | $151.36 |