| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.18 | $233.18 | $450.99 | |
Aetna
| Professional | $55.74 | $70.86 | $83.89 | |
Anthem BCBS
| Facility | $58.68 | $81.47 | $181.00 | |
Anthem BCBS
| Professional | $49.87 | $74.63 | $109.01 | |
CareSource
| Facility | $93.69 | $112.43 | $131.16 | |
CareSource
| Professional | $93.69 | $107.51 | $126.48 | |
Cigna
| Facility | $65.00 | $80.00 | $309.89 | |
Cigna
| Professional | $63.53 | $86.23 | $146.09 | |
United
| Professional | $65.93 | $77.80 | $98.04 |