| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $416.87 | $575.44 | |
Aetna
| Professional | $218.78 | $281.84 | $416.87 | |
BCBS
| Facility | $371.54 | $371.54 | $512.86 | |
BCBS
| Professional | $281.84 | $407.38 | $407.38 | |
CareSource
| Facility | $263.03 | $263.03 | $457.09 | |
CareSource
| Professional | $213.80 | $213.80 | $331.13 | |
Cigna
| Facility | $213.80 | $426.58 | $616.60 | |
Cigna
| Professional | $147.91 | $288.40 | $489.78 | |
United
| Facility | $295.12 | $295.12 | $331.13 | |
United
| Professional | $138.04 | $199.53 | $331.13 |