| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.11 | $402.11 | $402.11 | |
Aetna
| Professional | $255.31 | $255.31 | $268.61 | |
Anthem BCBS
| Professional | $274.86 | $366.48 | $366.48 | |
CareSource
| Facility | $342.73 | $342.73 | $342.73 | |
CareSource
| Professional | $293.77 | $293.77 | $306.01 | |
Cigna
| Professional | $190.53 | $190.53 | $423.37 | |
United
| Professional | $348.23 | $420.99 | $573.89 |