| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.70 | $275.70 | $275.70 | |
Aetna
| Professional | $264.83 | $275.70 | $275.70 | |
Anthem BCBS
| Professional | $261.20 | $357.47 | $446.83 | |
CareSource
| Facility | $472.50 | $472.50 | $472.50 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Cigna
| Professional | $192.64 | $226.63 | $471.86 |