| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,709.01 | $1,759.28 | $1,759.28 | |
Anthem BCBS
| Professional | $336.26 | $336.26 | $4,207.50 | |
CareSource
| Facility | $6,682.50 | $41,999.58 | $131,862.10 | |
CareSource
| Professional | $5,692.50 | $6,930.00 | $91,163.94 | |
Cigna
| Facility | $5,940.00 | $5,940.00 | $5,940.00 | |
Cigna
| Professional | $5,745.13 | $6,313.96 | $23,859.00 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $1,130.96 | $1,507.95 | $2,513.25 |