| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.79 | $83.85 | $454.86 | |
Aetna
| Professional | $76.70 | $81.81 | $104.82 | |
Anthem BCBS
| Facility | $58.73 | $92.03 | $107.48 | |
Anthem BCBS
| Professional | $40.90 | $40.90 | $97.89 | |
CareSource
| Facility | $112.49 | $143.16 | $168.73 | |
CareSource
| Professional | $102.26 | $132.94 | $171.80 | |
Cigna
| Facility | $66.47 | $79.56 | $1,569.67 | |
Cigna
| Professional | $46.67 | $108.01 | $492.89 | |
United
| Professional | $44.28 | $61.36 | $102.26 |