| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.01 | $136.01 | $222.65 | |
Aetna
| Professional | $118.89 | $136.01 | $165.36 | |
Anthem BCBS
| Facility | $175.89 | $199.27 | $222.65 | |
Anthem BCBS
| Professional | $215.04 | $268.80 | $362.12 | |
CareSource
| Facility | $189.25 | $262.27 | $333.98 | |
CareSource
| Professional | $189.25 | $244.92 | $300.58 | |
Cigna
| Facility | $222.65 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $278.10 | $310.27 | |
United
| Professional | $124.16 | $201.75 | $292.17 |