| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $118.76 | $668.65 | |
Aetna
| Professional | $100.00 | $120.26 | $138.30 | |
Anthem BCBS
| Facility | $61.84 | $135.30 | $158.00 | |
Anthem BCBS
| Professional | $60.13 | $60.13 | $103.07 | |
CareSource
| Facility | $180.40 | $210.46 | $248.04 | |
CareSource
| Professional | $172.88 | $202.95 | $300.66 | |
Cigna
| Facility | $97.71 | $116.97 | $883.04 | |
Cigna
| Professional | $68.65 | $158.90 | $724.59 | |
United
| Professional | $63.14 | $90.20 | $150.33 |