| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $181.97 | |
Aetna
| Professional | $131.83 | $173.78 | $295.12 | |
Anthem BCBS
| Facility | $269.15 | $302.00 | $316.23 | |
Anthem BCBS
| Professional | $269.15 | $363.08 | $363.08 | |
CareSource
| Facility | $218.78 | $398.11 | $512.86 | |
CareSource
| Professional | $295.12 | $371.54 | $467.74 | |
Cigna
| Facility | $309.03 | $436.52 | $436.52 | |
Cigna
| Professional | $229.09 | $398.11 | $1,318.26 | |
Molina
| Professional | $295.12 | $380.19 | $489.78 | |
United
| Facility | $208.93 | $223.87 | $263.03 | |
United
| Professional | $147.91 | $223.87 | $346.74 |