| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.81 | $250.77 | $763.21 | |
Aetna
| Professional | $161.36 | $178.81 | $201.57 | |
Anthem BCBS
| Facility | $172.27 | $203.42 | $654.17 | |
Anthem BCBS
| Professional | $105.40 | $105.40 | $203.42 | |
CareSource
| Facility | $218.06 | $283.48 | $305.27 | |
CareSource
| Professional | $218.06 | $261.67 | $327.08 | |
Cigna
| Facility | $171.27 | $218.06 | $551.70 | |
Cigna
| Professional | $135.35 | $157.02 | $358.30 | |
United
| Professional | $91.59 | $130.84 | $239.65 |