| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.36 | $275.36 | $1,550.41 | |
Aetna
| Professional | $243.99 | $278.85 | $320.68 | |
Anthem BCBS
| Facility | $97.76 | $313.70 | $366.34 | |
Anthem BCBS
| Professional | $138.49 | $162.94 | $172.86 | |
CareSource
| Facility | $383.42 | $487.98 | $575.12 | |
CareSource
| Professional | $348.56 | $453.13 | $585.58 | |
Cigna
| Facility | $226.56 | $271.20 | $704.89 | |
Cigna
| Professional | $159.13 | $368.35 | $1,680.06 | |
United
| Professional | $146.40 | $237.02 | $395.04 |