| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.82 | $206.82 | $417.86 | |
Aetna
| Professional | $198.87 | $207.59 | $224.44 | |
Anthem BCBS
| Facility | $330.11 | $373.98 | $417.86 | |
Anthem BCBS
| Professional | $203.85 | $224.90 | $310.36 | |
CareSource
| Facility | $315.11 | $459.65 | $626.79 | |
CareSource
| Professional | $355.18 | $459.65 | $564.11 | |
Cigna
| Facility | $233.26 | $233.26 | $417.86 | |
Cigna
| Professional | $170.28 | $170.28 | $428.65 | |
United
| Professional | $124.16 | $199.77 | $282.56 |