| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.67 | $162.19 | $566.79 | |
Aetna
| Professional | $100.67 | $101.94 | $127.43 | |
Anthem BCBS
| Facility | $79.33 | $116.80 | $133.93 | |
Anthem BCBS
| Professional | $54.99 | $194.67 | $194.67 | |
CareSource
| Facility | $152.91 | $178.40 | $210.26 | |
CareSource
| Professional | $146.54 | $172.03 | $254.86 | |
Cigna
| Facility | $82.83 | $99.15 | $297.36 | |
Cigna
| Professional | $58.14 | $134.66 | $614.21 | |
United
| Professional | $55.18 | $91.16 | $151.93 |