| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.36 | $447.97 | $1,014.12 | |
Aetna
| Professional | $203.37 | $225.36 | $233.61 | |
Anthem BCBS
| Facility | $109.93 | $824.49 | $1,492.05 | |
Anthem BCBS
| Professional | $93.44 | $109.93 | $148.40 | |
CareSource
| Facility | $274.83 | $357.28 | $439.73 | |
CareSource
| Professional | $274.83 | $329.80 | $412.25 | |
Cigna
| Facility | $178.64 | $519.65 | $1,071.40 | |
Cigna
| Professional | $145.11 | $334.90 | $401.25 | |
United
| Professional | $115.43 | $164.90 | $302.04 |