| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.25 | $226.25 | $457.12 | |
Aetna
| Professional | $217.55 | $234.07 | $246.79 | |
Anthem BCBS
| Facility | $361.12 | $409.12 | $457.12 | |
Anthem BCBS
| Professional | $223.00 | $256.36 | $353.77 | |
CareSource
| Facility | $347.26 | $502.83 | $685.68 | |
CareSource
| Professional | $388.55 | $502.83 | $617.11 | |
Cigna
| Facility | $295.70 | $295.70 | $457.12 | |
Cigna
| Professional | $215.87 | $295.70 | $468.93 | |
United
| Facility | $142.19 | $238.12 | $333.04 | |
United
| Professional | $139.99 | $218.54 | $316.39 |