| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.84 | $217.84 | $217.84 | |
Aetna
| Professional | $190.61 | $302.55 | $343.40 | |
Anthem BCBS
| Facility | $545.28 | $545.28 | $1,052.39 | |
Anthem BCBS
| Professional | $329.62 | $545.28 | $748.96 | |
CareSource
| Facility | $317.47 | $4,762.00 | $7,871.58 | |
Cigna
| Facility | $360.89 | $360.89 | $360.89 | |
Cigna
| Professional | $233.23 | $233.23 | $601.13 | |
United
| Professional | $297.44 | $352.34 | $593.90 |