| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.69 | $168.69 | $340.82 | |
Aetna
| Professional | $162.19 | $171.87 | $183.06 | |
Anthem BCBS
| Facility | $269.25 | $305.02 | $340.82 | |
Anthem BCBS
| Professional | $166.26 | $185.44 | $255.90 | |
CareSource
| Facility | $257.00 | $374.90 | $511.23 | |
CareSource
| Professional | $289.70 | $374.90 | $460.11 | |
Cigna
| Facility | $227.96 | $227.96 | $340.82 | |
Cigna
| Professional | $166.41 | $227.96 | $349.62 | |
United
| Professional | $101.26 | $162.94 | $228.86 |