| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.04 | $77.89 | $422.50 | |
Aetna
| Professional | $75.04 | $75.98 | $125.00 | |
Anthem BCBS
| Facility | $59.13 | $85.49 | $99.83 | |
Anthem BCBS
| Professional | $38.00 | $102.39 | $102.39 | |
CareSource
| Facility | $113.99 | $132.99 | $156.72 | |
CareSource
| Professional | $109.24 | $128.24 | $189.98 | |
Cigna
| Facility | $61.74 | $73.91 | $230.13 | |
Cigna
| Professional | $43.33 | $100.40 | $457.85 | |
United
| Professional | $39.90 | $56.99 | $104.49 |