| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.77 | $214.77 | $214.77 | |
Aetna
| Professional | $117.06 | $159.65 | $214.77 | |
Anthem BCBS
| Professional | $240.98 | $375.00 | $375.00 | |
CareSource
| Facility | $244.85 | $318.31 | $385.29 | |
CareSource
| Professional | $249.75 | $302.73 | $367.28 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
United
| Professional | $96.39 | $144.59 | $240.98 |