| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.20 | $378.94 | $1,153.29 | |
Aetna
| Professional | $243.84 | $270.20 | $313.02 | |
Anthem BCBS
| Facility | $260.31 | $294.91 | $988.53 | |
Anthem BCBS
| Professional | $69.13 | $131.80 | $181.88 | |
CareSource
| Facility | $329.51 | $395.41 | $461.31 | |
CareSource
| Professional | $329.51 | $362.46 | $467.08 | |
Cigna
| Facility | $214.18 | $329.51 | $766.35 | |
Cigna
| Professional | $146.50 | $173.98 | $473.40 | |
United
| Professional | $138.38 | $197.71 | $406.29 |