| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.07 | $37.70 | $335.17 | |
Aetna
| Professional | $20.07 | $159.31 | $377.78 | |
Anthem BCBS
| Facility | $40.85 | $40.85 | $373.00 | |
Anthem BCBS
| Professional | $24.54 | $40.85 | $357.45 | |
CareSource
| Facility | $17.05 | $24.86 | $426.17 | |
CareSource
| Professional | $298.26 | $357.91 | $447.39 | |
Cigna
| Facility | $37.70 | $37.70 | $37.70 | |
Cigna
| Professional | $22.16 | $45.40 | $538.25 | |
United
| Professional | $158.80 | $274.27 | $336.28 |