| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $537.03 | $630.96 | |
Aetna
| Professional | $32.36 | $44.67 | $630.96 | |
Anthem BCBS
| Professional | $251.19 | $363.08 | $512.86 | |
CareSource
| Facility | $75.86 | $89.13 | $269.15 | |
Cigna
| Professional | $251.19 | $398.11 | $602.56 | |
United
| Professional | $39.81 | $50.12 | $70.79 |