| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $163.24 | $163.24 | |
Aetna
| Professional | $163.24 | $163.24 | $205.68 | |
Anthem BCBS
| Facility | $173.77 | $188.88 | $188.88 | |
Anthem BCBS
| Professional | $149.60 | $176.00 | $176.00 | |
CareSource
| Facility | $92.20 | $190.86 | $353.10 | |
CareSource
| Professional | $78.37 | $96.81 | $129.08 | |
Cigna
| Facility | $150.00 | $179.39 | $179.39 | |
Cigna
| Professional | $176.19 | $179.39 | $506.73 | |
United
| Professional | $164.98 | $189.73 | $194.68 |