| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $114.82 | $173.78 | $407.38 | |
Anthem BCBS
| Facility | $151.36 | $2,344.23 | $5,128.61 | |
Anthem BCBS
| Professional | $131.83 | $204.17 | $331.13 | |
CareSource
| Facility | $134.90 | $134.90 | $138.04 | |
Cigna
| Professional | $138.04 | $208.93 | $331.13 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 | |
United
| Professional | $114.82 | $181.97 | $302.00 |