| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.40 | $247.40 | $247.40 | |
Aetna
| Professional | $247.40 | $247.40 | $258.39 | |
Anthem BCBS
| Professional | $261.20 | $357.47 | $446.83 | |
CareSource
| Facility | $330.75 | $330.75 | $330.75 | |
Cigna
| Facility | $170.83 | $170.83 | $170.83 | |
Cigna
| Professional | $145.21 | $170.83 | $175.95 |