| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $724.44 | $1,737.80 | |
Aetna
| Professional | $309.03 | $380.19 | $446.68 | |
Anthem BCBS
| Facility | $467.74 | $467.74 | $1,412.54 | |
Anthem BCBS
| Professional | $199.53 | $239.88 | $467.74 | |
CareSource
| Facility | $446.68 | $6,760.83 | $10,232.93 | |
Cigna
| Facility | $467.74 | $467.74 | $467.74 | |
Cigna
| Professional | $281.84 | $562.34 | $1,412.54 | |
United
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Professional | $194.98 | $281.84 | $467.74 |