| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.07 | $170.07 | $343.60 | |
Aetna
| Professional | $163.53 | $171.09 | $184.55 | |
Anthem BCBS
| Facility | $271.44 | $307.52 | $343.60 | |
Anthem BCBS
| Professional | $180.16 | $183.63 | $687.20 | |
CareSource
| Facility | $259.10 | $377.96 | $515.40 | |
CareSource
| Professional | $292.06 | $377.96 | $463.86 | |
Cigna
| Facility | $192.25 | $192.25 | $343.60 | |
Cigna
| Professional | $140.34 | $192.25 | $352.47 | |
United
| Professional | $102.33 | $166.07 | $253.13 |