| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $213.80 | |
Aetna
| Professional | $190.55 | $218.78 | $316.23 | |
Anthem BCBS
| Facility | $234.42 | $436.52 | $549.54 | |
Anthem BCBS
| Professional | $223.87 | $234.42 | $416.87 | |
CareSource
| Facility | $436.52 | $537.03 | $645.65 | |
Cigna
| Facility | $251.19 | $251.19 | $436.52 | |
Cigna
| Professional | $181.97 | $181.97 | $380.19 | |
United
| Facility | $147.91 | $288.40 | $346.74 | |
United
| Professional | $128.82 | $208.93 | $295.12 |