| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.49 | $146.54 | $446.01 | |
Aetna
| Professional | $100.67 | $104.49 | $121.06 | |
Anthem BCBS
| Facility | $100.67 | $114.05 | $382.29 | |
Anthem BCBS
| Professional | $54.99 | $54.99 | $194.67 | |
CareSource
| Facility | $127.43 | $165.66 | $178.40 | |
CareSource
| Professional | $127.43 | $152.91 | $191.15 | |
Cigna
| Facility | $89.36 | $127.43 | $296.82 | |
Cigna
| Professional | $72.59 | $116.08 | $195.47 | |
United
| Professional | $53.52 | $76.45 | $140.05 |