| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.10 | $136.80 | $770.28 | |
Aetna
| Professional | $121.22 | $138.54 | $160.26 | |
Anthem BCBS
| Facility | $107.80 | $155.85 | $182.00 | |
Anthem BCBS
| Professional | $107.70 | $143.60 | $239.40 | |
CareSource
| Facility | $207.80 | $242.44 | $285.73 | |
CareSource
| Professional | $199.15 | $233.78 | $346.34 | |
Cigna
| Facility | $112.56 | $134.74 | $412.95 | |
Cigna
| Professional | $80.20 | $279.36 | $1,112.74 | |
United
| Professional | $107.37 | $241.96 | $331.43 |