| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.05 | $187.14 | $317.18 | |
Aetna
| Professional | $112.05 | $247.33 | $317.18 | |
Anthem BCBS
| Facility | $333.24 | $333.24 | $333.24 | |
Anthem BCBS
| Professional | $146.31 | $219.50 | $219.50 | |
CareSource
| Facility | $288.08 | $288.08 | $480.41 | |
CareSource
| Professional | $256.45 | $352.48 | $563.96 | |
Cigna
| Facility | $390.52 | $390.52 | $390.52 | |
Cigna
| Professional | $153.00 | $1,606.22 | $1,606.22 | |
United
| Professional | $166.25 | $245.19 | $311.74 |