| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $252.64 | $252.64 | $252.64 | |
Anthem BCBS
| Facility | $31.94 | $31.94 | $61.64 | |
Anthem BCBS
| Professional | $31.94 | $31.94 | $43.02 | |
CareSource
| Facility | $140.13 | $145.33 | $182.19 | |
CareSource
| Professional | $109.00 | $168.17 | $210.22 | |
Cigna
| Professional | $89.59 | $105.40 | $105.40 |