| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.85 | $299.91 | $860.61 | |
Aetna
| Professional | $206.02 | $213.85 | $247.75 | |
Anthem BCBS
| Facility | $206.02 | $234.71 | $782.37 | |
Anthem BCBS
| Professional | $128.78 | $128.78 | $366.15 | |
CareSource
| Facility | $260.79 | $339.03 | $365.11 | |
CareSource
| Professional | $260.79 | $312.95 | $391.19 | |
Cigna
| Facility | $209.27 | $260.79 | $674.12 | |
Cigna
| Professional | $169.99 | $243.58 | $457.79 | |
United
| Professional | $109.53 | $156.47 | $286.61 |