| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $379.28 | $379.28 | $379.28 | |
Aetna
| Professional | $325.11 | $379.28 | $401.48 | |
Anthem BCBS
| Professional | $451.43 | $473.44 | $624.94 | |
CareSource
| Facility | $45.03 | $67.55 | $797.99 | |
CareSource
| Professional | $41.81 | $73.06 | $837.88 | |
Cigna
| Facility | $283.73 | $283.73 | $423.43 | |
Cigna
| Professional | $241.17 | $283.73 | $611.38 | |
United
| Professional | $202.32 | $303.48 | $483.74 |