| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.91 | $78.91 | $78.91 | |
Aetna
| Professional | $50.85 | $68.17 | $78.91 | |
Anthem BCBS
| Facility | $150.00 | $150.00 | $289.50 | |
Anthem BCBS
| Professional | $107.88 | $150.00 | $207.00 | |
CareSource
| Facility | $108.08 | $139.61 | $166.64 | |
CareSource
| Professional | $94.57 | $130.93 | $164.77 | |
Cigna
| Professional | $47.79 | $47.79 | $198.00 | |
United
| Professional | $33.65 | $59.38 | $89.45 |