| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.07 | $265.72 | $338.00 | |
Aetna
| Professional | $252.92 | $274.14 | $321.82 | |
Anthem BCBS
| Professional | $37.97 | $258.47 | $258.47 | |
CareSource
| Facility | $310.49 | $401.84 | $523.53 | |
CareSource
| Professional | $325.38 | $396.12 | $575.88 | |
Cigna
| Professional | $22.70 | $22.70 | $22.70 | |
Molina
| Professional | $3,000.00 | $3,000.00 | $3,000.00 |