| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.63 | $354.26 | $963.79 | |
Aetna
| Professional | $157.46 | $168.63 | $227.65 | |
Anthem BCBS
| Professional | $134.15 | $315.26 | $643.14 | |
CareSource
| Facility | $164.82 | $214.27 | $263.70 | |
CareSource
| Professional | $164.82 | $214.27 | $263.70 | |
Cigna
| Facility | $227.29 | $227.29 | $227.29 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
Molina
| Professional | $178.02 | $210.39 | $226.58 | |
United
| Professional | $139.88 | $202.49 | $354.97 |