| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.17 | $238.92 | $1,295.98 | |
Aetna
| Professional | $203.95 | $233.09 | $291.36 | |
Anthem BCBS
| Facility | $116.54 | $262.22 | $306.22 | |
Anthem BCBS
| Professional | $116.54 | $233.09 | $233.09 | |
CareSource
| Facility | $349.63 | $407.90 | $480.74 | |
CareSource
| Professional | $335.06 | $407.90 | $582.72 | |
Cigna
| Facility | $189.38 | $226.71 | $384.44 | |
Cigna
| Professional | $132.52 | $320.50 | $1,404.36 | |
United
| Professional | $122.37 | $174.82 | $320.50 |