| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,175.86 | $6,312.99 | $14,291.40 | |
Aetna
| Professional | $2,866.02 | $3,175.86 | $3,292.05 | |
Anthem BCBS
| Facility | $36.56 | $11,619.00 | $21,026.52 | |
Anthem BCBS
| Professional | $31.07 | $36.56 | $1,148.40 | |
CareSource
| Facility | $3,873.00 | $5,034.89 | $6,196.80 | |
CareSource
| Professional | $3,873.00 | $4,647.60 | $5,809.50 | |
Cigna
| Facility | $2,517.44 | $7,319.68 | $15,104.26 | |
Cigna
| Professional | $48.26 | $4,450.49 | $5,652.12 | |
United
| Professional | $1,626.66 | $2,323.80 | $4,256.43 |