| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $742.27 | $1,157.94 | $2,738.97 | |
Aetna
| Professional | $504.74 | $608.66 | $630.92 | |
Anthem BCBS
| Facility | $440.00 | $2,226.81 | $4,029.78 | |
Anthem BCBS
| Professional | $374.00 | $440.00 | $699.20 | |
CareSource
| Facility | $742.27 | $964.95 | $1,447.43 | |
CareSource
| Professional | $742.27 | $890.72 | $1,113.41 | |
Cigna
| Facility | $482.48 | $742.27 | $1,654.52 | |
Cigna
| Professional | $580.79 | $904.45 | $1,083.64 | |
United
| Professional | $311.75 | $445.36 | $815.75 |