| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.02 | $336.81 | $1,159.98 | |
Aetna
| Professional | $206.02 | $208.63 | $260.79 | |
Anthem BCBS
| Facility | $162.34 | $260.79 | $372.03 | |
Anthem BCBS
| Professional | $128.78 | $366.15 | $366.15 | |
CareSource
| Facility | $312.95 | $365.11 | $430.30 | |
CareSource
| Professional | $299.91 | $365.11 | $521.58 | |
Cigna
| Facility | $169.51 | $202.92 | $564.04 | |
Cigna
| Professional | $120.18 | $275.57 | $1,257.01 | |
United
| Professional | $149.43 | $208.63 | $355.78 |