| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.77 | $169.99 | $922.13 | |
Aetna
| Professional | $163.77 | $165.85 | $292.61 | |
Anthem BCBS
| Facility | $49.94 | $186.58 | $217.88 | |
Anthem BCBS
| Professional | $74.91 | $83.24 | $102.38 | |
CareSource
| Facility | $248.77 | $290.23 | $342.06 | |
CareSource
| Professional | $238.41 | $279.87 | $414.62 | |
Cigna
| Facility | $134.75 | $161.31 | $273.54 | |
Cigna
| Professional | $95.47 | $219.14 | $999.23 | |
United
| Professional | $124.39 | $207.31 | $366.94 |