| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.87 | $176.53 | $566.41 | |
Aetna
| Professional | $122.80 | $138.15 | $175.00 | |
Anthem BCBS
| Facility | $121.27 | $137.38 | $460.50 | |
Anthem BCBS
| Professional | $46.48 | $46.48 | $81.13 | |
CareSource
| Facility | $153.50 | $184.20 | $245.60 | |
CareSource
| Professional | $153.50 | $168.85 | $207.23 | |
Cigna
| Facility | $99.78 | $153.50 | $357.19 | |
Cigna
| Professional | $70.17 | $176.76 | $220.96 | |
United
| Professional | $64.47 | $92.10 | $153.50 |