| 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 | $174.81 | |
Anthem BCBS
| Facility | $69.92 | $157.33 | $183.73 | |
Anthem BCBS
| Professional | $59.43 | $69.92 | $69.92 | |
CareSource
| Facility | $209.77 | $244.73 | $288.44 | |
CareSource
| Professional | $201.03 | $235.99 | $349.62 | |
Cigna
| Facility | $113.63 | $136.02 | $312.41 | |
Cigna
| Professional | $79.48 | $184.87 | $842.58 | |
United
| Professional | $75.69 | $104.89 | $192.29 |