| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.41 | $1,237.25 | $2,800.89 | |
Aetna
| Professional | $561.70 | $622.41 | $645.19 | |
Anthem BCBS
| Facility | $645.00 | $2,277.15 | $4,120.88 | |
Anthem BCBS
| Professional | $500.00 | $645.00 | $868.94 | |
CareSource
| Facility | $699.96 | $759.05 | $1,024.72 | |
CareSource
| Professional | $699.96 | $759.05 | $10,499.40 | |
Cigna
| Facility | $493.38 | $1,434.84 | $2,960.07 | |
Cigna
| Professional | $851.40 | $872.26 | $1,107.77 | |
United
| Professional | $318.80 | $455.43 | $834.20 |