| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.41 | $223.41 | $223.41 | |
Aetna
| Professional | $223.41 | $256.80 | $413.20 | |
Anthem BCBS
| Professional | $36.70 | $357.60 | $914.69 | |
CareSource
| Facility | $41.30 | $58.00 | $546.55 | |
CareSource
| Professional | $43.89 | $43.89 | $43.89 | |
Cigna
| Facility | $238.11 | $238.11 | $238.11 | |
Cigna
| Professional | $40.57 | $40.57 | $745.31 | |
United
| Professional | $17.61 | $32.40 | $287.55 |