| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.95 | $97.71 | $550.11 | |
Aetna
| Professional | $95.95 | $98.94 | $132.29 | |
Anthem BCBS
| Facility | $58.38 | $111.31 | $129.99 | |
Anthem BCBS
| Professional | $58.38 | $61.08 | $97.30 | |
CareSource
| Facility | $148.41 | $173.15 | $204.07 | |
CareSource
| Professional | $142.22 | $166.97 | $247.36 | |
Cigna
| Facility | $80.39 | $96.24 | $330.26 | |
Cigna
| Professional | $56.90 | $130.86 | $596.14 | |
United
| Professional | $70.87 | $101.24 | $168.73 |