| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $512.86 | $776.25 | |
Aetna
| Professional | $208.93 | $288.40 | $416.87 | |
Anthem BCBS
| Facility | $323.59 | $371.54 | $645.65 | |
CareSource
| Facility | $323.59 | $4,897.79 | $41,686.94 | |
CareSource
| Professional | $426.58 | $5,495.41 | $9,772.37 | |
Cigna
| Professional | $407.38 | $407.38 | $446.68 | |
United
| Facility | $346.74 | $346.74 | $346.74 | |
United
| Professional | $147.91 | $208.93 | $380.19 |