| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,174.90 | $2,818.38 | |
Aetna
| Professional | $501.19 | $616.60 | $724.44 | |
Anthem BCBS
| Facility | $758.58 | $758.58 | $2,290.87 | |
Anthem BCBS
| Professional | $501.19 | $645.65 | $1,000.00 | |
CareSource
| Facility | $660.69 | $1,202.26 | $16,595.87 | |
Cigna
| Facility | $489.78 | $489.78 | $2,951.21 | |
Cigna
| Professional | $851.14 | $933.25 | $2,290.87 | |
United
| Facility | $758.58 | $758.58 | $758.58 | |
United
| Professional | $316.23 | $457.09 | $758.58 |