| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.62 | $970.93 | $2,158.29 | |
Aetna
| Professional | $432.83 | $479.62 | $497.17 | |
Anthem BCBS
| Facility | $288.83 | $1,754.70 | $3,175.42 | |
Anthem BCBS
| Professional | $100.00 | $288.83 | $800.00 | |
CareSource
| Facility | $584.90 | $760.37 | $1,140.56 | |
CareSource
| Professional | $584.90 | $701.88 | $877.35 | |
Cigna
| Facility | $380.19 | $1,105.32 | $2,280.71 | |
Cigna
| Professional | $381.27 | $671.95 | $853.38 | |
United
| Facility | $584.90 | $584.90 | $584.90 | |
United
| Professional | $245.66 | $350.94 | $642.80 |