| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.71 | $4,117.03 | $7,212.00 | |
Aetna
| Professional | $215.71 | $324.48 | $442.37 | |
Anthem BCBS
| Facility | $949.00 | $3,896.00 | $8,230.00 | |
Anthem BCBS
| Professional | $253.01 | $353.71 | $497.31 | |
CareSource
| Facility | $210.25 | $306.24 | $483.11 | |
CareSource
| Professional | $353.08 | $423.70 | $507.27 | |
Cigna
| Facility | $439.96 | $439.96 | $439.96 | |
Cigna
| Professional | $253.47 | $373.06 | $575.61 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 | |
United
| Professional | $309.64 | $412.87 | $626.44 |