| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $467.74 | $1,122.02 | |
Aetna
| Professional | $199.53 | $245.47 | $295.12 | |
Anthem BCBS
| Facility | $302.00 | $302.00 | $912.01 | |
Anthem BCBS
| Professional | $102.33 | $120.23 | $251.19 | |
CareSource
| Facility | $295.12 | $4,365.16 | $6,606.93 | |
Cigna
| Facility | $194.98 | $194.98 | $1,174.90 | |
Cigna
| Professional | $158.49 | $371.54 | $912.01 | |
United
| Facility | $302.00 | $302.00 | $302.00 | |
United
| Professional | $125.89 | $181.97 | $302.00 |