| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.58 | $137.81 | $162.13 | |
Aetna
| Professional | $112.01 | $139.50 | $200.81 | |
Anthem BCBS
| Professional | $90.59 | $116.48 | $155.83 | |
CareSource
| Facility | $166.35 | $208.08 | $268.70 | |
CareSource
| Professional | $167.94 | $201.53 | $277.10 | |
Cigna
| Facility | $207.40 | $207.40 | $207.40 | |
Cigna
| Professional | $139.61 | $277.47 | $845.04 | |
United
| Professional | $130.22 | $145.80 | $236.35 |