| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.96 | $312.33 | $699.65 | |
Aetna
| Professional | $126.00 | $169.96 | $192.66 | |
Anthem BCBS
| Facility | $175.09 | $333.50 | $500.25 | |
Anthem BCBS
| Professional | $144.57 | $170.09 | $237.60 | |
CareSource
| Facility | $234.11 | $234.11 | $304.33 | |
CareSource
| Professional | $234.11 | $234.11 | $269.23 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $161.47 | $186.76 | $484.63 | |
United
| Professional | $166.75 | $188.43 | $200.10 |