| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.40 | $336.40 | $336.40 | |
Aetna
| Professional | $213.59 | $213.59 | $224.72 | |
Anthem BCBS
| Professional | $144.66 | $192.89 | $192.89 | |
CareSource
| Facility | $286.75 | $286.75 | $286.75 | |
CareSource
| Professional | $245.78 | $245.78 | $256.02 | |
Cigna
| Professional | $159.41 | $159.41 | $222.83 | |
United
| Professional | $183.28 | $221.58 | $302.05 |