| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $1,318.26 | $3,090.30 | |
Aetna
| Professional | $562.34 | $691.83 | $812.83 | |
Anthem BCBS
| Facility | $851.14 | $851.14 | $2,511.89 | |
Anthem BCBS
| Professional | $288.40 | $338.84 | $707.95 | |
CareSource
| Facility | $812.83 | $12,302.69 | $18,620.87 | |
Cigna
| Facility | $549.54 | $549.54 | $3,311.31 | |
Cigna
| Professional | $446.68 | $1,023.29 | $2,570.40 | |
United
| Facility | $851.14 | $851.14 | $851.14 | |
United
| Professional | $354.81 | $512.86 | $851.14 |