| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $263.03 | $467.74 | |
Aetna
| Professional | $128.82 | $154.88 | $194.98 | |
Anthem BCBS
| Facility | $162.18 | $194.98 | $204.17 | |
Anthem BCBS
| Professional | $77.62 | $77.62 | $77.62 | |
CareSource
| Facility | $194.98 | $269.15 | $363.08 | |
CareSource
| Professional | $208.93 | $251.19 | $316.23 | |
Cigna
| Facility | $125.89 | $263.03 | $309.03 | |
Cigna
| Professional | $89.13 | $331.13 | $933.25 | |
United
| Professional | $81.28 | $114.82 | $194.98 |