| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.27 | $178.81 | $969.94 | |
Aetna
| Professional | $172.27 | $200.62 | $322.70 | |
Anthem BCBS
| Facility | $135.74 | $218.06 | $293.37 | |
Anthem BCBS
| Professional | $105.40 | $105.40 | $293.37 | |
CareSource
| Facility | $261.67 | $305.27 | $359.80 | |
CareSource
| Professional | $250.77 | $294.38 | $436.12 | |
Cigna
| Facility | $141.74 | $169.67 | $287.73 | |
Cigna
| Professional | $100.98 | $278.13 | $1,051.05 | |
United
| Professional | $94.42 | $176.02 | $293.37 |