| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.98 | $731.00 | $7,212.00 | |
Aetna
| Professional | $183.98 | $248.60 | $323.81 | |
Anthem BCBS
| Facility | $1,042.00 | $5,230.00 | $8,240.00 | |
Anthem BCBS
| Professional | $190.45 | $261.23 | $369.51 | |
CareSource
| Facility | $177.59 | $258.67 | $416.42 | |
CareSource
| Professional | $304.26 | $323.27 | $437.24 | |
Cigna
| Facility | $1,314.83 | $1,314.83 | $1,314.83 | |
Cigna
| Professional | $227.39 | $329.25 | $483.71 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 | |
United
| Professional | $264.99 | $365.25 | $588.86 |