| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.31 | $103.31 | $208.74 | |
Aetna
| Professional | $99.34 | $104.34 | $112.12 | |
Anthem BCBS
| Facility | $164.90 | $186.82 | $208.74 | |
Anthem BCBS
| Professional | $101.82 | $114.28 | $157.69 | |
CareSource
| Facility | $157.40 | $229.61 | $313.11 | |
CareSource
| Professional | $177.43 | $229.61 | $281.80 | |
Cigna
| Facility | $147.05 | $147.05 | $208.74 | |
Cigna
| Professional | $107.35 | $107.35 | $214.13 | |
United
| Professional | $62.40 | $99.79 | $141.16 |