| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $470.40 | $470.40 | $705.60 | |
Aetna
| Professional | $26.31 | $26.31 | $26.31 | |
Anthem BCBS
| Professional | $7.25 | $7.25 | $9.19 | |
CareSource
| Facility | $26.60 | $26.60 | $26.60 | |
Cigna
| Professional | $9.57 | $145.26 | $145.26 |