| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.20 | $163.77 | $922.13 | |
Aetna
| Professional | $145.12 | $165.85 | $191.84 | |
Anthem BCBS
| Facility | $37.53 | $186.58 | $217.88 | |
Anthem BCBS
| Professional | $62.55 | $62.55 | $102.38 | |
CareSource
| Facility | $248.77 | $290.23 | $342.06 | |
CareSource
| Professional | $238.41 | $279.87 | $414.62 | |
Cigna
| Facility | $134.75 | $161.31 | $448.39 | |
Cigna
| Professional | $95.47 | $219.14 | $999.23 | |
United
| Professional | $118.79 | $165.85 | $282.83 |