| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.25 | $225.25 | $473.30 | |
Aetna
| Professional | $197.02 | $225.25 | $234.26 | |
Anthem BCBS
| Facility | $373.91 | $423.60 | $473.30 | |
Anthem BCBS
| Professional | $230.88 | $240.07 | $331.29 | |
CareSource
| Facility | $338.34 | $497.56 | $662.62 | |
CareSource
| Professional | $402.31 | $520.63 | $638.96 | |
Cigna
| Facility | $306.16 | $306.16 | $473.30 | |
Cigna
| Professional | $223.50 | $306.16 | $468.03 | |
United
| Professional | $132.38 | $236.12 | $314.95 |