| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.93 | $184.86 | $1,040.83 | |
Aetna
| Professional | $82.93 | $187.20 | $215.28 | |
Anthem BCBS
| Facility | $31.67 | $210.60 | $245.93 | |
Anthem BCBS
| Professional | $47.50 | $52.78 | $93.60 | |
CareSource
| Facility | $280.80 | $327.60 | $386.10 | |
CareSource
| Professional | $269.10 | $327.60 | $468.00 | |
Cigna
| Facility | $152.10 | $182.08 | $314.27 | |
Cigna
| Professional | $106.88 | $247.53 | $1,127.88 | |
United
| Professional | $98.28 | $140.40 | $234.00 |