| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.38 | $159.38 | $322.04 | |
Aetna
| Professional | $153.26 | $159.38 | $172.97 | |
Anthem BCBS
| Facility | $254.41 | $288.23 | $322.04 | |
Anthem BCBS
| Professional | $157.10 | $177.26 | $239.30 | |
CareSource
| Facility | $241.53 | $354.24 | $450.86 | |
CareSource
| Professional | $273.73 | $354.24 | $434.75 | |
Cigna
| Facility | $181.86 | $181.86 | $322.04 | |
Cigna
| Professional | $132.76 | $181.86 | $330.35 | |
United
| Facility | $98.33 | $169.40 | $230.28 | |
United
| Professional | $96.80 | $157.30 | $218.50 |