| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.36 | $274.83 | $961.91 | |
Aetna
| Professional | $175.00 | $225.36 | $386.20 | |
Anthem BCBS
| Facility | $217.12 | $245.97 | $824.49 | |
Anthem BCBS
| Professional | $109.93 | $109.93 | $223.28 | |
CareSource
| Facility | $274.83 | $329.80 | $384.76 | |
CareSource
| Professional | $274.83 | $302.31 | $389.57 | |
Cigna
| Facility | $178.64 | $274.83 | $639.74 | |
Cigna
| Professional | $145.11 | $247.46 | $399.00 | |
United
| Professional | $115.43 | $164.90 | $302.04 |