| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.48 | $245.48 | $270.80 | |
Aetna
| Professional | $92.20 | $245.48 | $245.48 | |
Anthem BCBS
| Facility | $203.74 | $230.82 | $257.89 | |
Anthem BCBS
| Professional | $113.22 | $113.22 | $169.87 | |
CareSource
| Facility | $194.94 | $257.89 | $321.08 | |
CareSource
| Professional | $224.18 | $263.17 | $298.14 | |
Cigna
| Facility | $94.68 | $94.68 | $94.68 | |
Cigna
| Professional | $149.44 | $149.44 | $264.56 | |
United
| Professional | $85.78 | $201.85 | $309.48 |