| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $1,479.11 | $3,467.37 | |
Aetna
| Professional | $645.65 | $776.25 | $912.01 | |
Anthem BCBS
| Facility | $954.99 | $954.99 | $2,818.38 | |
Anthem BCBS
| Professional | $74.13 | $117.49 | $691.83 | |
CareSource
| Facility | $660.69 | $13,803.84 | $43,651.58 | |
Cigna
| Facility | $616.60 | $954.99 | $954.99 | |
Cigna
| Professional | $97.72 | $1,096.48 | $1,348.96 | |
United
| Facility | $426.58 | $954.99 | $954.99 | |
United
| Professional | $398.11 | $575.44 | $954.99 |