| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.76 | $242.07 | $1,169.77 | |
Aetna
| Professional | $170.94 | $210.39 | $271.56 | |
Anthem BCBS
| Facility | $163.71 | $262.99 | $293.37 | |
Anthem BCBS
| Professional | $105.40 | $293.37 | $293.37 | |
CareSource
| Facility | $315.58 | $368.19 | $433.93 | |
CareSource
| Professional | $262.99 | $341.89 | $441.82 | |
Cigna
| Facility | $170.94 | $204.63 | $458.09 | |
Cigna
| Professional | $120.31 | $305.33 | $1,267.60 | |
United
| Professional | $121.99 | $174.27 | $290.45 |