| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.12 | $268.02 | $815.75 | |
Aetna
| Professional | $184.13 | $191.12 | $229.99 | |
Anthem BCBS
| Facility | $184.13 | $208.60 | $699.21 | |
Anthem BCBS
| Professional | $106.20 | $106.20 | $212.40 | |
CareSource
| Facility | $233.07 | $302.99 | $326.30 | |
CareSource
| Professional | $233.07 | $279.68 | $349.61 | |
Cigna
| Facility | $172.57 | $233.07 | $555.89 | |
Cigna
| Professional | $140.18 | $212.39 | $377.12 | |
United
| Professional | $97.89 | $139.84 | $256.14 |