| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.47 | $548.90 | $892.17 | |
Aetna
| Professional | $157.46 | $157.47 | $211.61 | |
BCBS
| Facility | $315.74 | $315.74 | $315.74 | |
BCBS
| Professional | $151.74 | $200.83 | $200.83 | |
CareSource
| Facility | $161.62 | $226.27 | $259.91 | |
CareSource
| Professional | $161.62 | $207.92 | $375.60 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
United
| Professional | $143.38 | $208.44 | $318.25 |