| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.58 | $900.00 | $2,373.00 | |
Aetna
| Professional | $174.08 | $279.97 | $1,208.24 | |
Anthem BCBS
| Facility | $1,416.06 | $1,416.06 | $1,416.06 | |
Anthem BCBS
| Professional | $285.86 | $423.88 | $436.61 | |
CareSource
| Facility | $252.37 | $292.47 | $3,988.20 | |
CareSource
| Professional | $252.37 | $277.61 | $3,785.55 | |
Cigna
| Facility | $63.08 | $63.08 | $334.42 | |
Cigna
| Professional | $0.66 | $0.66 | $559.19 | |
United
| Professional | $834.89 | $952.38 | $1,645.02 |