| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.84 | $76.84 | $155.26 | |
Aetna
| Professional | $73.89 | $77.38 | $83.39 | |
Anthem BCBS
| Facility | $122.66 | $138.96 | $155.26 | |
Anthem BCBS
| Professional | $75.73 | $85.01 | $117.31 | |
CareSource
| Facility | $116.45 | $170.79 | $217.76 | |
CareSource
| Professional | $131.97 | $170.79 | $209.60 | |
Cigna
| Facility | $100.43 | $100.43 | $155.26 | |
Cigna
| Professional | $73.31 | $100.43 | $159.27 | |
United
| Professional | $48.28 | $76.76 | $111.61 |