| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.74 | $96.55 | $543.66 | |
Aetna
| Professional | $94.74 | $97.78 | $113.10 | |
Anthem BCBS
| Facility | $72.11 | $110.00 | $128.44 | |
Anthem BCBS
| Professional | $60.36 | $60.36 | $120.18 | |
CareSource
| Facility | $146.66 | $171.11 | $201.66 | |
CareSource
| Professional | $140.55 | $165.00 | $244.44 | |
Cigna
| Facility | $79.44 | $95.10 | $242.31 | |
Cigna
| Professional | $56.26 | $129.13 | $589.10 | |
United
| Facility | $92.21 | $122.22 | $122.22 | |
United
| Professional | $52.92 | $100.04 | $166.74 |