| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.34 | $174.34 | $430.56 | |
Aetna
| Professional | $167.63 | $177.60 | $189.19 | |
Anthem BCBS
| Facility | $278.27 | $315.25 | $352.24 | |
Anthem BCBS
| Professional | $171.81 | $191.64 | $258.70 | |
CareSource
| Facility | $265.58 | $387.46 | $528.36 | |
CareSource
| Professional | $299.39 | $387.46 | $475.52 | |
Cigna
| Facility | $212.98 | $212.98 | $352.24 | |
Cigna
| Professional | $155.47 | $212.98 | $361.32 | |
United
| Professional | $104.64 | $168.38 | $236.50 |