| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.87 | $185.87 | $260.01 | |
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
Anthem BCBS
| Facility | $117.59 | $310.23 | $598.74 | |
Anthem BCBS
| Professional | $263.69 | $310.23 | $436.61 | |
CareSource
| Facility | $43,749.56 | $65,624.35 | $89,999.10 | |
Cigna
| Facility | $65.12 | $92.24 | $320.04 | |
Cigna
| Professional | $0.66 | $0.66 | $0.66 |