| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.62 | $3,008.52 | $3,008.52 | |
Aetna
| Professional | $926.63 | $926.63 | $3,008.52 | |
Anthem BCBS
| Facility | $421.04 | $608.73 | $710.86 | |
Anthem BCBS
| Professional | $144.37 | $180.36 | $180.36 | |
CareSource
| Facility | $811.64 | $8,877.36 | $21,354.13 | |
CareSource
| Professional | $777.83 | $946.92 | $18,684.86 | |
Cigna
| Facility | $439.64 | $526.28 | $892.47 | |
Cigna
| Professional | $785.04 | $3,260.10 | $3,260.10 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $284.08 | $405.82 | $676.37 |