| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $524.81 | $2,884.03 | |
Aetna
| Professional | $398.11 | $398.11 | $2,884.03 | |
Anthem BCBS
| Facility | $309.03 | $309.03 | $616.60 | |
Anthem BCBS
| Professional | $309.03 | $371.54 | $489.78 | |
CareSource
| Facility | $43,651.58 | $52,480.75 | $66,069.34 | |
Cigna
| Facility | $954.99 | $954.99 | $954.99 | |
Cigna
| Professional | $0.66 | $0.66 | $0.66 | |
United
| Facility | $794.33 | $794.33 | $1,659.59 | |
United
| Professional | $295.12 | $295.12 | $295.12 |