| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $522.63 | $579.13 | $670.94 | |
Anthem BCBS
| Professional | $51.50 | $60.59 | $79.97 | |
CareSource
| Facility | $741.56 | $918.13 | $988.75 | |
CareSource
| Professional | $706.25 | $847.50 | $1,059.38 | |
Cigna
| Professional | $79.98 | $860.24 | $2,061.42 | |
United
| Professional | $296.63 | $423.75 | $776.17 |