| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.27 | $172.88 | $526.16 | |
Aetna
| Professional | $100.00 | $123.27 | $142.81 | |
Anthem BCBS
| Facility | $118.76 | $134.55 | $450.99 | |
Anthem BCBS
| Professional | $60.13 | $60.13 | $103.07 | |
CareSource
| Facility | $150.33 | $195.43 | $210.46 | |
CareSource
| Professional | $150.33 | $180.40 | $225.50 | |
Cigna
| Facility | $97.71 | $150.33 | $349.63 | |
Cigna
| Professional | $79.37 | $135.35 | $218.00 | |
United
| Professional | $63.14 | $90.20 | $165.21 |