| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $630.96 | $758.58 | $1,380.38 | |
Anthem BCBS
| Facility | $2,344.23 | $13,803.84 | $19,054.61 | |
Anthem BCBS
| Professional | $676.08 | $912.01 | $1,412.54 | |
CareSource
| Facility | $758.58 | $758.58 | $776.25 | |
Cigna
| Facility | $776.25 | $977.24 | $1,412.54 | |
Cigna
| Professional | $549.54 | $891.25 | $1,318.26 | |
United
| Facility | $3,090.30 | $7,762.47 | $10,964.78 | |
United
| Professional | $588.84 | $831.76 | $1,348.96 |