| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.60 | $164.60 | $309.75 | |
Aetna
| Professional | $164.59 | $164.60 | $207.39 | |
Anthem BCBS
| Facility | $180.85 | $188.39 | $188.39 | |
Anthem BCBS
| Professional | $135.78 | $159.75 | $159.75 | |
CareSource
| Facility | $179.24 | $197.16 | $322.63 | |
CareSource
| Professional | $132.77 | $179.24 | $233.01 | |
Cigna
| Facility | $158.97 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $228.75 | $228.75 | |
United
| Professional | $156.69 | $180.21 | $187.09 |