| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $323.59 | $562.34 | |
Aetna
| Professional | $81.28 | $186.21 | $234.42 | |
Anthem BCBS
| Facility | $194.98 | $234.42 | $245.47 | |
Anthem BCBS
| Professional | $52.48 | $52.48 | $58.88 | |
CareSource
| Facility | $234.42 | $331.13 | $446.68 | |
CareSource
| Professional | $251.19 | $302.00 | $389.05 | |
Cigna
| Facility | $151.36 | $371.54 | $371.54 | |
Cigna
| Professional | $107.15 | $1,122.02 | $1,122.02 | |
United
| Facility | $141.25 | $141.25 | $141.25 | |
United
| Professional | $97.72 | $141.25 | $234.42 |