| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $912.01 | $2,137.96 | |
Aetna
| Professional | $380.19 | $478.63 | $549.54 | |
Anthem BCBS
| Facility | $588.84 | $588.84 | $1,737.80 | |
Anthem BCBS
| Professional | $245.47 | $288.40 | $575.44 | |
CareSource
| Facility | $562.34 | $8,511.38 | $12,882.50 | |
Cigna
| Facility | $588.84 | $588.84 | $588.84 | |
Cigna
| Professional | $380.19 | $707.95 | $1,778.28 | |
United
| Facility | $588.84 | $588.84 | $588.84 | |
United
| Professional | $245.47 | $354.81 | $588.84 |