| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,174.90 | $2,818.38 | |
Aetna
| Professional | $501.19 | $616.60 | $741.31 | |
Anthem BCBS
| Facility | $758.58 | $758.58 | $2,290.87 | |
Anthem BCBS
| Professional | $1.10 | $1.82 | $562.34 | |
CareSource
| Facility | $524.81 | $10,964.78 | $43,651.58 | |
Cigna
| Facility | $489.78 | $758.58 | $758.58 | |
Cigna
| Professional | $1.45 | $870.96 | $1,096.48 | |
United
| Facility | $338.84 | $758.58 | $758.58 | |
United
| Professional | $316.23 | $457.09 | $758.58 |