| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.98 | $238.98 | $238.98 | |
Aetna
| Professional | $193.01 | $238.98 | $238.98 | |
Anthem BCBS
| Professional | $261.20 | $357.47 | $446.83 | |
CareSource
| Facility | $330.75 | $330.75 | $330.75 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $185.53 |