| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.47 | $191.47 | $584.00 | |
Aetna
| Professional | $174.36 | $199.18 | $240.00 | |
Anthem BCBS
| Facility | $250.00 | $300.00 | $540.00 | |
Anthem BCBS
| Professional | $211.16 | $300.00 | $405.00 | |
CareSource
| Facility | $15,332.76 | $16,439.66 | $23,239.60 | |
Cigna
| Professional | $146.27 | $146.27 | $336.60 | |
United
| Professional | $159.22 | $203.39 | $304.87 |