| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,174.90 | $2,754.23 | |
Aetna
| Professional | $501.19 | $616.60 | $758.58 | |
Anthem BCBS
| Facility | $758.58 | $758.58 | $2,238.72 | |
Anthem BCBS
| Professional | $338.84 | $338.84 | $707.95 | |
CareSource
| Facility | $724.44 | $10,964.78 | $43,651.58 | |
Cigna
| Facility | $398.11 | $489.78 | $2,951.21 | |
Cigna
| Professional | $446.68 | $870.96 | $1,071.52 | |
United
| Facility | $338.84 | $758.58 | $758.58 | |
United
| Professional | $316.23 | $446.68 | $758.58 |