| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.00 | $171.00 | $345.50 | |
Aetna
| Professional | $164.43 | $171.68 | $185.57 | |
Anthem BCBS
| Facility | $272.95 | $309.22 | $345.50 | |
Anthem BCBS
| Professional | $168.55 | $186.58 | $251.88 | |
CareSource
| Facility | $260.54 | $380.05 | $518.25 | |
CareSource
| Professional | $293.68 | $380.05 | $466.43 | |
Cigna
| Facility | $192.91 | $192.91 | $345.50 | |
Cigna
| Professional | $140.82 | $192.91 | $354.41 | |
United
| Professional | $102.68 | $165.17 | $232.06 |