| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.80 | $367.11 | $506.97 | |
Aetna
| Professional | $176.04 | $282.62 | $367.11 | |
BCBS
| Facility | $332.15 | $332.15 | $332.15 | |
BCBS
| Professional | $247.66 | $364.20 | $364.20 | |
CareSource
| Facility | $291.36 | $291.36 | $349.63 | |
CareSource
| Professional | $189.38 | $189.38 | $291.36 | |
Cigna
| Facility | $189.67 | $246.19 | $542.52 | |
Cigna
| Professional | $139.85 | $265.32 | $437.81 | |
United
| Facility | $262.22 | $262.22 | $262.22 | |
United
| Professional | $122.37 | $175.08 | $293.08 |