| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.42 | $192.94 | $432.88 | |
Aetna
| Professional | $98.94 | $101.42 | $211.08 | |
Anthem BCBS
| Facility | $97.71 | $111.31 | $371.04 | |
Anthem BCBS
| Professional | $61.08 | $61.08 | $97.30 | |
CareSource
| Facility | $123.68 | $160.78 | $173.15 | |
CareSource
| Professional | $123.68 | $148.41 | $185.52 | |
Cigna
| Facility | $99.25 | $123.68 | $319.45 | |
Cigna
| Professional | $80.63 | $115.52 | $217.14 | |
United
| Professional | $51.95 | $79.53 | $135.91 |