| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,289.96 | $1,327.90 | $1,327.90 | |
Anthem BCBS
| Professional | $1,316.82 | $1,549.20 | $1,549.20 | |
CareSource
| Facility | $7,337.25 | $41,999.58 | $144,778.50 | |
CareSource
| Professional | $6,250.25 | $7,609.00 | $100,093.77 | |
Cigna
| Facility | $6,522.00 | $6,522.00 | $6,522.00 | |
Cigna
| Professional | $6,307.84 | $6,932.38 | $26,196.70 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $1,138.20 | $1,138.20 | $2,086.69 |