| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.51 | $722.60 | $1,462.92 | |
Aetna
| Professional | $328.05 | $363.51 | $376.81 | |
Anthem BCBS
| Facility | $11.33 | $1,329.93 | $2,406.73 | |
Anthem BCBS
| Professional | $9.63 | $11.33 | $15.29 | |
CareSource
| Facility | $443.31 | $576.29 | $709.30 | |
CareSource
| Professional | $443.31 | $531.97 | $664.97 | |
Cigna
| Facility | $288.14 | $838.16 | $1,729.05 | |
Cigna
| Professional | $14.96 | $509.23 | $646.72 | |
United
| Professional | $186.19 | $265.99 | $487.20 |