| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.39 | $410.51 | $615.77 | |
Aetna
| Professional | $94.93 | $410.51 | $410.51 | |
BCBS
| Facility | $371.41 | $371.41 | $371.41 | |
BCBS
| Professional | $276.93 | $407.25 | $407.25 | |
CareSource
| Facility | $342.09 | $342.09 | $342.09 | |
CareSource
| Professional | $211.77 | $211.77 | $325.80 | |
Cigna
| Facility | $132.77 | $245.65 | $487.07 | |
Cigna
| Professional | $68.56 | $374.18 | $467.72 | |
United
| Professional | $95.13 | $136.84 | $195.48 |