| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.10 | $143.34 | $777.57 | |
Aetna
| Professional | $122.37 | $139.85 | $160.83 | |
Anthem BCBS
| Facility | $35.72 | $157.33 | $183.73 | |
Anthem BCBS
| Professional | $53.57 | $59.53 | $69.92 | |
CareSource
| Facility | $192.29 | $244.73 | $288.44 | |
CareSource
| Professional | $174.81 | $227.25 | $293.68 | |
Cigna
| Facility | $113.63 | $136.02 | $312.41 | |
Cigna
| Professional | $79.80 | $184.87 | $842.58 | |
United
| Professional | $73.53 | $105.05 | $192.29 |