| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.39 | $92.39 | $98.17 | |
Aetna
| Professional | $89.70 | $96.73 | $111.82 | |
Anthem BCBS
| Facility | $100.00 | $100.00 | $193.00 | |
Anthem BCBS
| Professional | $64.73 | $85.00 | $134.72 | |
CareSource
| Facility | $77.68 | $99.07 | $126.08 | |
CareSource
| Professional | $88.03 | $102.70 | $126.08 | |
Cigna
| Facility | $65.00 | $72.00 | $95.00 | |
Cigna
| Professional | $65.45 | $91.33 | $163.15 | |
United
| Facility | $84.00 | $105.14 | $181.14 | |
United
| Professional | $75.50 | $100.32 | $167.44 |