| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.12 | $225.36 | $1,222.42 | |
Aetna
| Professional | $192.38 | $219.86 | $274.83 | |
Anthem BCBS
| Facility | $109.93 | $247.35 | $288.85 | |
Anthem BCBS
| Professional | $93.44 | $109.93 | $109.93 | |
CareSource
| Facility | $302.31 | $384.76 | $453.47 | |
CareSource
| Professional | $274.83 | $357.28 | $461.71 | |
Cigna
| Facility | $178.64 | $213.85 | $550.00 | |
Cigna
| Professional | $126.55 | $302.31 | $1,324.68 | |
United
| Professional | $119.00 | $164.90 | $302.31 |