| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
Anthem BCBS
| Facility | $1,416.06 | $1,416.06 | $1,416.06 | |
Anthem BCBS
| Professional | $285.86 | $423.88 | $436.61 | |
CareSource
| Facility | $43,749.56 | $52,499.48 | $89,999.10 | |
Cigna
| Facility | $950.50 | $950.50 | $950.50 |