| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.17 | $727.23 | $1,720.17 | |
Aetna
| Professional | $317.00 | $368.27 | $396.24 | |
Anthem BCBS
| Facility | $368.27 | $417.22 | $1,398.51 | |
Anthem BCBS
| Professional | $179.80 | $211.53 | $338.44 | |
CareSource
| Facility | $466.17 | $606.02 | $909.03 | |
CareSource
| Professional | $466.17 | $559.40 | $699.26 | |
Cigna
| Facility | $303.01 | $466.17 | $1,039.28 | |
Cigna
| Professional | $279.22 | $567.79 | $680.29 | |
United
| Professional | $195.79 | $279.70 | $512.32 |