| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.00 | $108.23 | $609.38 | |
Aetna
| Professional | $45.00 | $109.60 | $140.43 | |
Anthem BCBS
| Facility | $32.15 | $123.30 | $143.99 | |
Anthem BCBS
| Professional | $45.56 | $50.00 | $54.80 | |
CareSource
| Facility | $150.69 | $191.80 | $226.05 | |
CareSource
| Professional | $137.00 | $178.10 | $230.16 | |
Cigna
| Facility | $89.05 | $106.60 | $385.41 | |
Cigna
| Professional | $62.60 | $144.71 | $660.34 | |
United
| Professional | $59.32 | $82.20 | $137.00 |