| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.68 | $248.94 | $285.16 | |
Aetna
| Professional | $232.97 | $249.43 | $357.03 | |
Anthem BCBS
| Professional | $169.70 | $203.69 | $283.44 | |
CareSource
| Facility | $228.15 | $323.75 | $373.46 | |
CareSource
| Professional | $210.32 | $323.75 | $462.50 | |
Cigna
| Facility | $404.69 | $404.69 | $404.69 | |
Cigna
| Professional | $210.96 | $339.56 | $524.42 | |
Molina
| Professional | $32.34 | $156.99 | $217.69 | |
United
| Professional | $242.06 | $334.32 | $537.95 |