| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.65 | $436.56 | $920.47 | |
Aetna
| Professional | $194.61 | $215.65 | $236.69 | |
Anthem BCBS
| Facility | $207.76 | $235.38 | $788.97 | |
Anthem BCBS
| Professional | $105.20 | $105.20 | $145.16 | |
CareSource
| Facility | $262.99 | $315.58 | $368.19 | |
CareSource
| Professional | $262.99 | $289.29 | $368.19 | |
Cigna
| Facility | $170.94 | $497.03 | $1,025.42 | |
Cigna
| Professional | $118.39 | $189.43 | $381.00 | |
United
| Professional | $110.46 | $157.79 | $289.02 |