| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.68 | $237.98 | $246.79 | |
Aetna
| Professional | $204.45 | $237.98 | $246.79 | |
Anthem BCBS
| Facility | $288.22 | $463.01 | $486.62 | |
Anthem BCBS
| Professional | $216.57 | $246.48 | $256.36 | |
CareSource
| Facility | $347.26 | $625.05 | $731.39 | |
CareSource
| Professional | $439.86 | $571.40 | $763.97 | |
Cigna
| Facility | $295.70 | $295.70 | $542.59 | |
Cigna
| Professional | $215.87 | $295.70 | $2,247.61 | |
Molina
| Professional | $241.97 | $295.08 | $368.86 | |
United
| Facility | $177.97 | $208.12 | $244.99 | |
United
| Professional | $154.00 | $226.17 | $292.00 |