| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.81 | $477.16 | $719.60 | |
Aetna
| Professional | $172.27 | $178.81 | $207.16 | |
Anthem BCBS
| Facility | $172.27 | $218.06 | $654.17 | |
Anthem BCBS
| Professional | $87.22 | $218.06 | $287.83 | |
CareSource
| Facility | $218.06 | $261.31 | $294.38 | |
CareSource
| Professional | $218.06 | $250.77 | $309.10 | |
Cigna
| Facility | $141.74 | $412.05 | $850.48 | |
Cigna
| Professional | $250.69 | $287.83 | $313.36 | |
United
| Facility | $76.31 | $218.06 | $218.06 | |
United
| Professional | $91.59 | $130.84 | $203.71 |