| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.23 | $112.34 | $609.38 | |
Aetna
| Professional | $95.90 | $109.60 | $137.00 | |
Anthem BCBS
| Facility | $54.80 | $123.30 | $143.99 | |
Anthem BCBS
| Professional | $54.80 | $109.60 | $109.60 | |
CareSource
| Facility | $132.91 | $191.80 | $226.05 | |
CareSource
| Professional | $157.55 | $171.25 | $274.00 | |
Cigna
| Facility | $89.05 | $106.60 | $180.77 | |
Cigna
| Professional | $62.40 | $150.69 | $660.34 | |
United
| Professional | $57.54 | $82.20 | $150.69 |