| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $812.83 | $1,445.44 | |
Aetna
| Professional | $398.11 | $478.63 | $575.44 | |
Anthem BCBS
| Facility | $537.03 | $602.56 | $630.96 | |
Anthem BCBS
| Professional | $676.08 | $794.33 | $794.33 | |
CareSource
| Facility | $707.95 | $8,709.64 | $41,686.94 | |
CareSource
| Professional | $660.69 | $831.76 | $10,964.78 | |
Cigna
| Facility | $389.05 | $954.99 | $954.99 | |
Cigna
| Professional | $2,884.03 | $2,884.03 | $2,884.03 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Facility | $363.08 | $363.08 | $363.08 | |
United
| Professional | $251.19 | $354.81 | $602.56 |