| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $368.27 | $466.17 | $2,073.55 | |
Aetna
| Professional | $326.32 | $368.27 | $466.17 | |
Anthem BCBS
| Facility | $279.68 | $419.55 | $489.94 | |
Anthem BCBS
| Professional | $237.72 | $279.68 | $594.35 | |
CareSource
| Facility | $559.40 | $4,894.79 | $14,716.08 | |
CareSource
| Professional | $536.10 | $652.64 | $12,876.57 | |
Cigna
| Facility | $303.01 | $362.73 | $615.11 | |
Cigna
| Professional | $541.02 | $2,246.94 | $2,246.94 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $195.79 | $279.70 | $466.17 |