| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $592.50 | $615.00 | $3,336.00 | |
Aetna
| Professional | $592.50 | $615.00 | $750.00 | |
Anthem BCBS
| Facility | $336.26 | $336.26 | $336.26 | |
Anthem BCBS
| Professional | $285.82 | $336.26 | $336.26 | |
CareSource
| Facility | $750.00 | $1,237.50 | $41,999.58 | |
CareSource
| Professional | $825.00 | $1,050.00 | $13,913.53 | |
Cigna
| Facility | $487.50 | $572.33 | $900.00 | |
Cigna
| Professional | $843.60 | $1,077.41 | $3,615.00 | |
Molina
| Professional | $100.00 | $100.00 | $1,500.00 | |
United
| Professional | $337.50 | $450.00 | $825.00 |