| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.61 | $274.50 | $537.41 | |
Aetna
| Professional | $126.63 | $192.50 | $217.01 | |
Anthem BCBS
| Facility | $172.93 | $172.93 | $333.75 | |
Anthem BCBS
| Professional | $132.29 | $169.59 | $243.13 | |
CareSource
| Facility | $214.36 | $257.23 | $300.10 | |
CareSource
| Professional | $214.36 | $243.13 | $289.39 | |
Cigna
| Facility | $65.00 | $75.00 | $246.71 | |
Cigna
| Professional | $189.99 | $233.84 | $334.81 | |
United
| Professional | $158.26 | $198.49 | $322.33 |