| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.34 | $201.03 | $611.84 | |
Aetna
| Professional | $129.36 | $143.34 | $166.07 | |
Anthem BCBS
| Facility | $138.10 | $156.44 | $524.42 | |
Anthem BCBS
| Professional | $59.53 | $59.53 | $82.15 | |
CareSource
| Facility | $174.81 | $209.77 | $244.73 | |
CareSource
| Professional | $174.81 | $192.29 | $247.79 | |
Cigna
| Facility | $113.63 | $174.81 | $406.64 | |
Cigna
| Professional | $78.58 | $159.30 | $254.00 | |
United
| Professional | $73.42 | $104.89 | $192.12 |