| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $449.36 | $1,172.25 | $1,441.89 | |
Aetna
| Professional | $308.69 | $320.42 | $371.21 | |
Anthem BCBS
| Facility | $203.55 | $1,172.25 | $2,121.38 | |
Anthem BCBS
| Professional | $173.01 | $203.55 | $274.79 | |
CareSource
| Facility | $390.75 | $488.44 | $8,612.70 | |
CareSource
| Professional | $390.75 | $429.83 | $527.51 | |
Cigna
| Facility | $253.99 | $738.51 | $1,523.45 | |
Cigna
| Professional | $268.69 | $448.93 | $561.16 | |
United
| Professional | $164.12 | $234.45 | $390.75 |