| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.39 | $780.27 | $1,595.78 | |
Aetna
| Professional | $266.80 | $427.89 | $499.80 | |
Anthem BCBS
| Facility | $327.83 | $503.40 | $1,741.76 | |
Anthem BCBS
| Professional | $151.02 | $201.36 | $755.10 | |
CareSource
| Facility | $327.20 | $704.76 | $1,081.95 | |
Cigna
| Facility | $654.41 | $1,107.48 | $1,397.47 | |
Cigna
| Professional | $525.00 | $557.25 | $696.56 | |
Kaiser Permanente
| Professional | $553.74 | $578.91 | $654.41 | |
United
| Professional | $211.43 | $302.04 | $513.52 |