| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.03 | $142.49 | $788.41 | |
Aetna
| Professional | $140.03 | $141.80 | $164.02 | |
Anthem BCBS
| Facility | $71.08 | $159.53 | $186.29 | |
Anthem BCBS
| Professional | $78.77 | $87.53 | $118.47 | |
CareSource
| Facility | $212.70 | $248.15 | $292.45 | |
CareSource
| Professional | $203.84 | $239.29 | $354.50 | |
Cigna
| Facility | $115.21 | $137.91 | $473.29 | |
Cigna
| Professional | $81.61 | $187.29 | $854.35 | |
United
| Professional | $101.56 | $145.09 | $241.81 |