| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.10 | $198.36 | $1,075.97 | |
Aetna
| Professional | $191.10 | $193.52 | $241.90 | |
Anthem BCBS
| Facility | $119.46 | $217.71 | $254.24 | |
Anthem BCBS
| Professional | $101.54 | $119.46 | $119.46 | |
CareSource
| Facility | $290.27 | $338.66 | $399.14 | |
CareSource
| Professional | $278.19 | $338.66 | $483.80 | |
Cigna
| Facility | $157.24 | $188.22 | $319.20 | |
Cigna
| Professional | $112.05 | $280.73 | $1,165.96 | |
United
| Professional | $125.43 | $179.18 | $298.64 |