| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.83 | $55.83 | $66.25 | |
Aetna
| Professional | $55.83 | $60.54 | $68.89 | |
Anthem BCBS
| Facility | $78.01 | $7,155.00 | $14,621.00 | |
Anthem BCBS
| Professional | $55.94 | $78.01 | $105.31 | |
CareSource
| Facility | $48.61 | $61.96 | $71.48 | |
CareSource
| Professional | $50.04 | $57.19 | $71.48 | |
Cigna
| Professional | $61.13 | $79.63 | $166.67 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 | |
United
| Professional | $55.78 | $71.86 | $120.28 |