| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.76 | $318.76 | $318.76 | |
Aetna
| Professional | $191.88 | $318.76 | $325.20 | |
Anthem BCBS
| Professional | $288.20 | $360.26 | $475.54 | |
CareSource
| Facility | $38.74 | $63.15 | $593.87 | |
CareSource
| Professional | $40.90 | $60.15 | $712.64 | |
Cigna
| Facility | $256.50 | $256.50 | $386.04 | |
Cigna
| Professional | $52.21 | $256.50 | $402.15 | |
United
| Professional | $122.13 | $190.34 | $304.79 |