| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.00 | $173.17 | $606.10 | |
Aetna
| Professional | $136.80 | $142.00 | $164.51 | |
Anthem BCBS
| Facility | $136.80 | $155.85 | $519.51 | |
Anthem BCBS
| Professional | $79.62 | $79.62 | $161.55 | |
CareSource
| Facility | $173.17 | $225.12 | $242.44 | |
CareSource
| Professional | $173.17 | $207.80 | $259.76 | |
Cigna
| Facility | $138.97 | $173.17 | $447.73 | |
Cigna
| Professional | $109.91 | $212.09 | $429.92 | |
United
| Professional | $103.90 | $190.49 | $316.89 |