| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.66 | $158.47 | $859.58 | |
Aetna
| Professional | $135.28 | $154.60 | $193.25 | |
Anthem BCBS
| Facility | $77.30 | $173.93 | $203.11 | |
Anthem BCBS
| Professional | $65.70 | $77.30 | $77.30 | |
CareSource
| Facility | $231.90 | $270.55 | $318.86 | |
CareSource
| Professional | $222.24 | $270.55 | $386.50 | |
Cigna
| Facility | $125.61 | $150.37 | $254.99 | |
Cigna
| Professional | $88.94 | $222.24 | $931.47 | |
United
| Professional | $83.68 | $115.95 | $212.58 |