| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.80 | $287.39 | $533.19 | |
Aetna
| Professional | $75.68 | $78.56 | $112.00 | |
Anthem BCBS
| Facility | $75.68 | $92.45 | $287.39 | |
Anthem BCBS
| Professional | $47.90 | $47.90 | $63.22 | |
CareSource
| Facility | $95.80 | $114.96 | $134.12 | |
CareSource
| Professional | $95.80 | $105.38 | $135.80 | |
Cigna
| Facility | $68.29 | $95.80 | $223.02 | |
Cigna
| Professional | $60.96 | $88.11 | $146.31 | |
United
| Professional | $40.24 | $57.48 | $105.28 |