| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.94 | $290.94 | $290.94 | |
Aetna
| Professional | $240.63 | $290.94 | $358.08 | |
Anthem BCBS
| Facility | $304.00 | $304.00 | $586.72 | |
Anthem BCBS
| Professional | $243.20 | $304.00 | $419.52 | |
CareSource
| Facility | $39.68 | $58.02 | $72.53 | |
CareSource
| Professional | $45.06 | $54.07 | $63.08 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $34.33 | $72.28 | $592.28 | |
United
| Professional | $15.45 | $25.15 | $51.63 |