| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.46 | $940.17 | $1,779.08 | |
Aetna
| Professional | $140.97 | $140.97 | $176.21 | |
Anthem BCBS
| Facility | $109.93 | $1,446.42 | $2,617.54 | |
Anthem BCBS
| Professional | $93.44 | $109.93 | $148.40 | |
CareSource
| Facility | $482.14 | $626.78 | $771.42 | |
CareSource
| Professional | $482.14 | $578.57 | $723.21 | |
Cigna
| Facility | $313.39 | $911.52 | $1,879.73 | |
Cigna
| Professional | $145.11 | $587.50 | $703.89 | |
United
| Professional | $87.07 | $124.39 | $227.83 |