| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.34 | $157.55 | $479.50 | |
Aetna
| Professional | $39.31 | $112.34 | $329.01 | |
Anthem BCBS
| Facility | $108.23 | $122.62 | $411.00 | |
Anthem BCBS
| Professional | $54.80 | $54.80 | $109.60 | |
CareSource
| Facility | $137.00 | $164.40 | $191.80 | |
CareSource
| Professional | $137.00 | $150.69 | $194.20 | |
Cigna
| Facility | $89.05 | $137.00 | $305.07 | |
Cigna
| Professional | $59.67 | $98.73 | $199.00 | |
United
| Professional | $57.54 | $82.20 | $150.56 |