| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.71 | $144.83 | $245.48 | |
Aetna
| Professional | $86.71 | $191.41 | $245.48 | |
Anthem BCBS
| Facility | $257.89 | $257.89 | $257.89 | |
Anthem BCBS
| Professional | $113.22 | $169.87 | $169.87 | |
CareSource
| Facility | $185.43 | $185.43 | $371.66 | |
CareSource
| Professional | $213.24 | $283.69 | $436.30 | |
Cigna
| Facility | $302.23 | $302.23 | $302.23 | |
Cigna
| Professional | $119.00 | $1,243.08 | $1,243.08 | |
United
| Professional | $128.66 | $187.20 | $241.23 |