| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.11 | $491.20 | $1,111.99 | |
Aetna
| Professional | $223.00 | $247.11 | $256.14 | |
Anthem BCBS
| Facility | $120.54 | $904.05 | $1,636.03 | |
Anthem BCBS
| Professional | $102.45 | $120.54 | $241.08 | |
CareSource
| Facility | $316.42 | $406.82 | $632.84 | |
CareSource
| Professional | $301.35 | $361.62 | $452.03 | |
Cigna
| Facility | $195.88 | $569.78 | $1,174.83 | |
Cigna
| Professional | $159.11 | $346.51 | $440.06 | |
United
| Professional | $126.57 | $180.81 | $331.18 |