| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $1,318.26 | $3,090.30 | |
Aetna
| Professional | $575.44 | $691.83 | $812.83 | |
Anthem BCBS
| Facility | $831.76 | $831.76 | $2,511.89 | |
Anthem BCBS
| Professional | $575.44 | $851.14 | $1,348.96 | |
CareSource
| Facility | $812.83 | $12,302.69 | $43,651.58 | |
Cigna
| Facility | $549.54 | $549.54 | $3,311.31 | |
Cigna
| Professional | $954.99 | $1,122.02 | $1,202.26 | |
United
| Facility | $380.19 | $831.76 | $831.76 | |
United
| Professional | $354.81 | $501.19 | $831.76 |