| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $186.21 | $331.13 | |
Aetna
| Professional | $91.20 | $109.65 | $138.04 | |
Anthem BCBS
| Facility | $114.82 | $138.04 | $144.54 | |
Anthem BCBS
| Professional | $97.72 | $109.65 | $109.65 | |
CareSource
| Facility | $131.83 | $169.82 | $229.09 | |
CareSource
| Professional | $147.91 | $169.82 | $223.87 | |
Cigna
| Facility | $89.13 | $218.78 | $218.78 | |
Cigna
| Professional | $63.10 | $162.18 | $660.69 | |
United
| Professional | $57.54 | $81.28 | $138.04 |