| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.13 | $210.13 | $237.18 | |
Aetna
| Professional | $210.13 | $258.14 | $379.76 | |
Anthem BCBS
| Professional | $37.44 | $362.40 | $816.90 | |
CareSource
| Facility | $41.10 | $65.34 | $93.36 | |
CareSource
| Professional | $41.47 | $54.07 | $74.69 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $318.39 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $98.34 | |
United
| Professional | $15.81 | $25.15 | $70.68 |