| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.93 | $98.69 | $131.93 | |
Aetna
| Professional | $82.93 | $110.57 | $147.80 | |
Anthem BCBS
| Facility | $126.25 | $126.25 | $243.66 | |
Anthem BCBS
| Professional | $96.08 | $126.25 | $170.08 | |
CareSource
| Facility | $121.73 | $155.24 | $197.58 | |
CareSource
| Professional | $137.94 | $155.24 | $183.47 | |
Cigna
| Professional | $99.41 | $114.96 | $198.76 | |
United
| Professional | $109.21 | $129.97 | $187.61 |