| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.83 | $371.40 | $1,191.73 | |
Aetna
| Professional | $258.37 | $264.83 | $306.81 | |
Anthem BCBS
| Facility | $255.14 | $307.82 | $968.88 | |
Anthem BCBS
| Professional | $159.49 | $159.49 | $322.95 | |
CareSource
| Facility | $322.95 | $387.55 | $436.00 | |
CareSource
| Professional | $322.95 | $371.40 | $457.80 | |
Cigna
| Facility | $259.17 | $322.95 | $835.09 | |
Cigna
| Professional | $204.91 | $370.87 | $463.59 | |
United
| Professional | $135.63 | $193.78 | $322.95 |