| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.76 | $262.99 | $1,169.77 | |
Aetna
| Professional | $207.76 | $215.65 | $262.99 | |
Anthem BCBS
| Facility | $105.20 | $236.69 | $276.39 | |
Anthem BCBS
| Professional | $89.42 | $105.20 | $105.20 | |
CareSource
| Facility | $289.29 | $368.19 | $433.93 | |
CareSource
| Professional | $262.99 | $341.89 | $441.82 | |
Cigna
| Facility | $170.94 | $204.63 | $347.01 | |
Cigna
| Professional | $121.13 | $302.44 | $1,267.60 | |
United
| Professional | $110.46 | $157.79 | $289.29 |