| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.89 | $109.24 | $332.47 | |
Aetna
| Professional | $70.29 | $77.89 | $90.24 | |
Anthem BCBS
| Facility | $75.04 | $85.02 | $284.97 | |
Anthem BCBS
| Professional | $38.00 | $38.00 | $102.39 | |
CareSource
| Facility | $94.99 | $123.49 | $132.99 | |
CareSource
| Professional | $94.99 | $113.99 | $142.49 | |
Cigna
| Facility | $61.74 | $94.99 | $221.36 | |
Cigna
| Professional | $50.16 | $85.42 | $138.00 | |
United
| Professional | $39.90 | $56.99 | $104.39 |