| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Aetna
| Professional | $144.54 | $165.96 | $269.15 | |
Anthem BCBS
| Facility | $229.09 | $257.04 | $323.59 | |
Anthem BCBS
| Professional | $269.15 | $269.15 | $436.52 | |
CareSource
| Facility | $295.12 | $371.54 | $436.52 | |
Cigna
| Facility | $257.04 | $309.03 | $309.03 | |
Cigna
| Professional | $229.09 | $229.09 | $354.81 | |
United
| Facility | $165.96 | $199.53 | $316.23 | |
United
| Professional | $141.25 | $218.78 | $338.84 |