| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.75 | $518.54 | $1,663.88 | |
Aetna
| Professional | $356.22 | $369.75 | $383.27 | |
Anthem BCBS
| Facility | $356.22 | $403.56 | $1,352.73 | |
Anthem BCBS
| Professional | $153.30 | $180.36 | $243.48 | |
CareSource
| Facility | $450.91 | $586.17 | $879.27 | |
CareSource
| Professional | $450.91 | $541.09 | $676.37 | |
Cigna
| Facility | $293.08 | $450.91 | $1,004.97 | |
Cigna
| Professional | $238.08 | $549.41 | $658.26 | |
United
| Professional | $189.38 | $270.55 | $495.55 |