| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.00 | $996.00 | $2,214.00 | |
Aetna
| Professional | $444.00 | $492.00 | $510.00 | |
Anthem BCBS
| Facility | $240.00 | $1,800.00 | $3,257.40 | |
Anthem BCBS
| Professional | $204.00 | $240.00 | $738.70 | |
CareSource
| Facility | $600.00 | $780.00 | $1,170.00 | |
CareSource
| Professional | $600.00 | $720.00 | $900.00 | |
Cigna
| Facility | $390.00 | $1,134.05 | $2,339.44 | |
Cigna
| Professional | $316.80 | $689.71 | $875.93 | |
United
| Professional | $252.00 | $360.00 | $659.40 |