| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.56 | $240.24 | $557.84 | |
Aetna
| Professional | $31.16 | $80.87 | $97.38 | |
Anthem BCBS
| Facility | $181.00 | $4,097.10 | $8,230.00 | |
Anthem BCBS
| Professional | $22.08 | $25.94 | $37.18 | |
CareSource
| Facility | $82.00 | $90.36 | $23,249.00 | |
CareSource
| Professional | $79.06 | $79.06 | $94.13 | |
Cigna
| Professional | $16.44 | $42.48 | $114.36 | |
United
| Professional | $32.65 | $70.08 | $79.54 |