| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.47 | $112.47 | $184.14 | |
Aetna
| Professional | $98.32 | $112.47 | $136.74 | |
Anthem BCBS
| Facility | $145.47 | $164.81 | $184.14 | |
Anthem BCBS
| Professional | $162.25 | $193.20 | $271.88 | |
CareSource
| Facility | $156.52 | $216.91 | $276.20 | |
CareSource
| Professional | $156.52 | $202.55 | $248.59 | |
Cigna
| Facility | $184.14 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $211.82 | $255.02 | |
United
| Professional | $102.68 | $166.86 | $241.63 |