| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.32 | $1,122.08 | $2,244.15 | |
Aetna
| Professional | $413.56 | $498.70 | $516.94 | |
Anthem BCBS
| Facility | $25.58 | $1,824.51 | $3,301.75 | |
Anthem BCBS
| Professional | $25.58 | $25.58 | $34.53 | |
CareSource
| Facility | $608.16 | $790.62 | $973.07 | |
CareSource
| Professional | $608.16 | $729.80 | $912.26 | |
Cigna
| Facility | $395.31 | $1,149.33 | $2,371.37 | |
Cigna
| Professional | $33.00 | $698.80 | $887.47 | |
United
| Professional | $255.43 | $364.90 | $668.38 |