| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.66 | $858.36 | $858.36 | |
Aetna
| Professional | $516.40 | $726.41 | $896.80 | |
Anthem BCBS
| Professional | $126.26 | $476.08 | $560.10 | |
CareSource
| Facility | $95.13 | $141.47 | $285.99 | |
CareSource
| Professional | $97.57 | $121.96 | $175.62 | |
Cigna
| Facility | $95.00 | $1,045.06 | $1,045.06 | |
Cigna
| Professional | $24.99 | $24.99 | $190.49 | |
Molina
| Professional | $68.51 | $89.32 | $719.35 | |
United
| Professional | $41.84 | $80.83 | $170.35 |