| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.00 | $1,245.00 | $2,767.50 | |
Aetna
| Professional | $592.50 | $615.00 | $712.50 | |
Anthem BCBS
| Facility | $336.26 | $2,250.00 | $4,071.75 | |
Anthem BCBS
| Professional | $336.26 | $336.26 | $504.39 | |
CareSource
| Facility | $750.00 | $937.50 | $16,533.81 | |
CareSource
| Professional | $750.00 | $825.00 | $1,012.50 | |
Cigna
| Facility | $487.50 | $1,417.72 | $2,924.31 | |
Cigna
| Professional | $443.86 | $861.93 | $1,077.41 | |
United
| Professional | $315.00 | $450.00 | $824.25 |