| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.85 | $117.60 | $357.91 | |
Aetna
| Professional | $51.13 | $83.85 | $129.69 | |
Anthem BCBS
| Facility | $80.79 | $91.52 | $306.77 | |
Anthem BCBS
| Professional | $40.90 | $40.90 | $84.36 | |
CareSource
| Facility | $102.26 | $122.71 | $143.16 | |
CareSource
| Professional | $102.26 | $112.49 | $144.94 | |
Cigna
| Facility | $66.47 | $102.26 | $238.12 | |
Cigna
| Professional | $53.99 | $92.01 | $148.00 | |
United
| Professional | $42.95 | $61.36 | $112.38 |