| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.07 | $407.93 | $563.33 | |
Aetna
| Professional | $104.42 | $407.93 | $407.93 | |
BCBS
| Facility | $369.08 | $369.08 | $369.08 | |
BCBS
| Professional | $275.19 | $404.69 | $404.69 | |
CareSource
| Facility | $339.94 | $339.94 | $339.94 | |
CareSource
| Professional | $210.44 | $210.44 | $323.75 | |
Cigna
| Facility | $146.04 | $244.11 | $484.01 | |
Cigna
| Professional | $75.48 | $372.11 | $465.14 | |
United
| Facility | $291.38 | $291.38 | $323.75 | |
United
| Professional | $104.64 | $135.97 | $194.25 |