| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.76 | $150.33 | $668.65 | |
Aetna
| Professional | $118.76 | $123.27 | $167.13 | |
Anthem BCBS
| Facility | $60.13 | $135.30 | $158.00 | |
Anthem BCBS
| Professional | $51.11 | $60.13 | $60.13 | |
CareSource
| Facility | $180.40 | $210.46 | $248.04 | |
CareSource
| Professional | $172.88 | $202.95 | $300.66 | |
Cigna
| Facility | $97.71 | $116.97 | $883.04 | |
Cigna
| Professional | $69.17 | $172.88 | $724.59 | |
United
| Professional | $65.09 | $90.20 | $165.36 |