| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.57 | $143.83 | $780.18 | |
Aetna
| Professional | $122.78 | $140.32 | $175.40 | |
Anthem BCBS
| Facility | $70.16 | $157.86 | $184.35 | |
Anthem BCBS
| Professional | $59.63 | $70.16 | $70.16 | |
CareSource
| Facility | $210.48 | $245.56 | $289.41 | |
CareSource
| Professional | $201.71 | $245.56 | $350.80 | |
Cigna
| Facility | $114.01 | $136.47 | $231.44 | |
Cigna
| Professional | $80.81 | $201.71 | $845.43 | |
United
| Professional | $75.95 | $105.24 | $192.94 |