| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.23 | $112.34 | $609.38 | |
Aetna
| Professional | $82.20 | $109.60 | $329.01 | |
Anthem BCBS
| Facility | $54.80 | $123.30 | $143.99 | |
Anthem BCBS
| Professional | $54.80 | $109.60 | $109.60 | |
CareSource
| Facility | $137.00 | $191.80 | $226.05 | |
CareSource
| Professional | $137.00 | $171.25 | $226.05 | |
Cigna
| Facility | $89.05 | $106.60 | $266.68 | |
Cigna
| Professional | $62.40 | $150.69 | $660.34 | |
United
| Professional | $57.54 | $82.20 | $150.69 |