| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $239.88 | $501.19 | |
Aetna
| Professional | $123.03 | $131.83 | $173.78 | |
Anthem BCBS
| Facility | $154.88 | $154.88 | $457.09 | |
Anthem BCBS
| Professional | $46.77 | $57.54 | $112.20 | |
CareSource
| Facility | $138.04 | $138.04 | $190.55 | |
Cigna
| Facility | $100.00 | $154.88 | $281.84 | |
Cigna
| Professional | $61.66 | $138.04 | $239.88 | |
United
| Facility | $69.18 | $154.88 | $154.88 | |
United
| Professional | $64.57 | $91.20 | $154.88 |